Individual
TONY LYNELL SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
880 W CENTRAL RD STE 7100, ARLINGTON HEIGHTS, IL 60005-2379
(847) 618-2500
(847) 392-7834
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 955-6900
(414) 955-6204
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
10741
WI
363LA2100X
Acute Care Nurse Practitioner
Primary
209028615
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209028615
STATE LICENSE
IL
Enumeration date
08/25/2020
Last updated
11/21/2023
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