Individual
SARAH SMOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN,CNP
Contact information
Practice address
2200 FORT JESSE RD STE 110, NORMAL, IL 61761-6286
(309) 661-6290
(309) 451-1354
Mailing address
2200 FORT JESSE RD STE 110, NORMAL, IL 61761-6286
(309) 661-6290
(309) 451-1354
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209018131
IL
Other
Enumeration date
09/13/2018
Last updated
09/13/2018
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