Individual
ROSARIO M SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2653 W OGDEN AVE FL 2, CHICAGO, IL 60608-1647
(773) 257-6672
Mailing address
26460 NETWORK PL, CHICAGO, IL 60673-1264
(773) 257-6672
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209.022592
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209022592
IL
Other
Enumeration date
02/26/2021
Last updated
04/06/2026
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