Individual
SARAH MIKULASCHEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
11824 SOUTHWEST HWY, PALOS HEIGHTS, IL 60463-1055
(708) 923-1919
(708) 923-9922
Mailing address
555 MIDTOWNE ST NE, SUITE 400, GRAND RAPIDS, MI 49503-5731
(616) 588-1200
(616) 588-1250
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041407367
IL
363L00000X
Nurse Practitioner
Primary
4704278481
MI
363LF0000X
Family Nurse Practitioner
209014069
IL
Other
Enumeration date
03/24/2016
Last updated
08/26/2022
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