Individual
SARAH BALL SCHROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3310 W DIVISION ST, CHICAGO, IL 60651-2301
(708) 222-7551
Mailing address
3310 W DIVISION ST, CHICAGO, IL 60651-2301
(708) 222-7551
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209019474
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209019474
IDFPR
IL
Enumeration date
06/05/2019
Last updated
06/05/2019
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