Individual
MRS. SHARON RUTH SWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.N.
Contact information
Practice address
440 S MCHENRY AVE, CRYSTAL LAKE, IL 60014-7147
(815) 356-8773
Mailing address
8710 HICKORY AVE, CRYSTAL LAKE, IL 60014-6818
(815) 477-7211
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
—
IL
Other
Enumeration date
10/03/2007
Last updated
10/03/2007
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