Individual
JEANNE STERRICKER-RYDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN, NP-C
Contact information
Practice address
552 RANDALL RD, SOUTH ELGIN, IL 60177-3315
(847) 697-9100
(847) 697-5105
Mailing address
552 RANDALL RD, SOUTH ELGIN, IL 60177-3315
(847) 697-9100
(847) 697-5105
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
209.008712
IL
363LF0000X
Family Nurse Practitioner
Primary
APN.0991735
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
920540
MEDICARE PTAN (GROUP)
IL
01
—
F400183338
MEDICARE PTAN (INDIVIDUAL)
IL
Enumeration date
06/27/2011
Last updated
02/16/2022
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