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Individual

JAZIRA SULTANOVA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
3922 MERCY DR, MCHENRY, IL 60050-3179
(815) 344-4499
Mailing address
3922 MERCY DR, MCHENRY, IL 60050-3179
(815) 344-4499
(815) 578-2006

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
277.001903
IL

Other

Enumeration date
10/21/2015
Last updated
06/14/2022
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