Individual
MRS. SANDRA CLEMENTINA MANOGURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1875 DEMPSTER ST, PARK RIDGE, IL 60068-1186
(847) 698-5500
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209-009578
IL
363LF0000X
Family Nurse Practitioner
209009578
IL
Other
Enumeration date
06/06/2012
Last updated
02/14/2025
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