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Individual

SYLVIA DURASKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP, APN

Contact information

Practice address
345 E SUPERIOR ST, CHICAGO, IL 60611-2654
(312) 238-1000
Mailing address
4569 DEPT, CAROL STREAM, IL 60122-0001
(708) 342-4081

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209-000623
IL
363LA2200X
Adult Health Nurse Practitioner
209-000623
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00074893
RR MEDICARE
IL
Enumeration date
08/03/2006
Last updated
11/01/2011
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