Individual
SHEILA M PROVENZANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
555 BIESTERFIELD RD, ELK GROVE VILLAGE, IL 60007-3306
(847) 690-1776
(847) 690-1777
Mailing address
555 BIESTERFIELD RD, ELK GROVE VILLAGE, IL 60007-3306
(847) 690-1776
(847) 690-1777
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041-320930
IL
Other
Enumeration date
05/30/2007
Last updated
10/06/2015
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