Individual
GLORIA A SA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN-CNP
Contact information
Practice address
757 PARK AVE W STE 2850, HIGHLAND PARK, IL 60035-2558
(847) 657-1900
(847) 733-5041
Mailing address
757 PARK AVE W STE 2850, HIGHLAND PARK, IL 60035-2558
(847) 657-1900
(847) 733-5041
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209026653
IL
363LF0000X
Family Nurse Practitioner
209.026653
IL
Other
Enumeration date
01/12/2023
Last updated
05/01/2024
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