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Individual

MRS. DEBRA DANIELSON-SADLICKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
C.N.M., A.P.R.N.

Contact information

Practice address
1786 MOON LAKE BLVD, SUITE 207, HOFFMAN ESTATES, IL 60169-1067
(847) 884-1800
(847) 755-1589
Mailing address
1786 MOON LAKE BLVD, SUITE 207, HOFFMAN ESTATES, IL 60169-1067
(847) 884-1800
(847) 755-1589

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
041191173
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
041191173
STATE LICENSE
IL
Enumeration date
06/30/2005
Last updated
11/10/2021
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