Individual
SHARON HENRY WALICEK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
APN, NP-BC, CCNS
Contact information
Practice address
915 CENTER ST, ELGIN, IL 60120-2106
(847) 931-4200
Mailing address
39 W 113 SHANNON SQ, GENEVA, IL 60134
(630) 845-8373
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
IL
Other
Enumeration date
10/25/2005
Last updated
07/08/2007
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