Individual
SUSAN MARIE SOTAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN OCN
Contact information
Practice address
3940 W FULLERTON AVE, CHICAGO, IL 60647-2244
(773) 486-0343
Mailing address
3940 W FULLERTON AVE, CHICAGO, IL 60647-2244
(773) 486-0343
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041328615
IL
Other
Enumeration date
02/02/2021
Last updated
02/02/2021
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