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Individual

MARY SUSAN SANDRIK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSN, RN, CWOCN

Contact information

Practice address
1500 SOUTH CALIFORNIA AVENUE, CHICAGO, IL 60608
(773) 542-2000
(773) 257-5205
Mailing address
2248 GROVE AVE, BERWYN, IL 60402-2201
(708) 788-7340

Taxonomy

Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
309.000463
IL

Other

Enumeration date
06/09/2011
Last updated
06/09/2011
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