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Individual

BARBARA GORDON SAUVAGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, FNP-BC, ACNP-BC

Contact information

Practice address
230 W JOHN CASEY RD, BOURBONNAIS, IL 60914-1348
(815) 937-8788
(815) 937-8230
Mailing address
230 W JOHN CASEY RD, BOURBONNAIS, IL 60914-1348
(815) 937-8788
(815) 937-8230

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
209007773
IL
363LF0000X
Family Nurse Practitioner
Primary
209.007773
IL

Other

Enumeration date
07/07/2010
Last updated
07/24/2013
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