Individual
SARA T KRUSENOSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5841 S MARYLAND AVE, CHICAGO, IL 60637-1443
(773) 702-1000
Mailing address
15437 LANCASTER LN, ORLAND PARK, IL 60462-6721
(708) 691-6902
Taxonomy
Speciality
Code
Description
License number
State
1835C0205X
Critical Care Pharmacist
Primary
051.300440
IL
Other
Enumeration date
02/28/2018
Last updated
02/28/2018
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