Individual
MS. SYLVIA ANN GARZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN-BC
Contact information
Practice address
1200 STATE STREET, CRUSADER CLINIC, ROCKFORD, IL 61102
(815) 490-1600
Mailing address
1200 W STATE ST, CRUSADER CLINIC, ROCKFORD, IL 61102-2112
(815) 490-1600
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209.007375
IL
363LA2200X
Adult Health Nurse Practitioner
209007375
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1710971486
—
IA
01
—
209007375
IL LICENSE
IL
05
—
421060724003
—
IL
01
—
8122859
BC/BS IL GROUP
IL
Enumeration date
12/17/2008
Last updated
07/17/2024
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