Individual
SKY ESPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1137 MCHENRY RD, BUFFALO GROVE, IL 60089-1377
(847) 807-8777
Mailing address
265 STONEGATE RD STE 102, ALGONQUIN, IL 60102-5614
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209027056
IL
Other
Enumeration date
04/26/2023
Last updated
07/29/2024
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