Individual
MRS. SARAH DUGGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
225 E CHICAGO AVE, BOX 19, CHICAGO, IL 60611-2991
(312) 227-5157
Mailing address
225 E CHICAGO AVE, BOX 19, CHICAGO, IL 60611-2991
(312) 227-4000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209011526
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209011526
STATE LICENSE NUMBER
IL
Enumeration date
06/16/2014
Last updated
06/16/2014
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