Individual
MRS. CARRIE ANN SUTHERLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
5758 S MARYLAND AVE, CHICAGO, IL 60637-1426
(773) 702-9660
Mailing address
2235 TICONDEROGA ST, SCHERERVILLE, IN 46375-3072
(219) 614-6837
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209031225
IL
Other
Enumeration date
12/23/2024
Last updated
12/23/2024
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