Individual
MR. DARREN M SAWYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APN
Contact information
Practice address
1111 TRINITY LN, SUITE 111, BLOOMINGTON, IL 61704-8111
(309) 663-6461
(309) 663-5711
Mailing address
611 W PARK ST, URBANA, IL 61801-2529
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209015634
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209015634
ST OF IL LICENSE
IL
Enumeration date
02/22/2017
Last updated
01/10/2022
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