Individual
MARIAH SVOBODA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN FNP-BC
Contact information
Practice address
455 BRIARGATE DR, SOUTH ELGIN, IL 60177-2225
(847) 622-0506
(847) 622-0507
Mailing address
PO BOX 713260, CHICAGO, IL 60677-2225
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209.029221
IL
363LF0000X
Family Nurse Practitioner
209.029221
IL
Other
Enumeration date
01/24/2024
Last updated
03/01/2024
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