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Individual

BRIDGET ELIZABETH TYNER SAROYA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPNP

Contact information

Practice address
1044 N MOZART ST, STE-402, CHICAGO, IL 60622-2789
(773) 292-4501
(773) 292-2613
Mailing address
1044 N MOZART ST, STE-402, CHICAGO, IL 60622-2789
(773) 292-4501
(773) 292-2613

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
209013607
IL
363LP0200X
Pediatric Nurse Practitioner
Primary
RN305998 NP08460
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2611598
OH
Enumeration date
01/18/2006
Last updated
06/29/2016
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