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Individual

SANDRA K PFANTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P., MSN, DPH

Contact information

Practice address
1740 W TAYLOR ST, CHICAGO, IL 60612-7232
(866) 600-2273
Mailing address
722 W MAXWELL ST, 2ND FLOOR, MC 397, CHICAGO, IL 60607-5002
(312) 996-2901

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209002079
IL

Other

Enumeration date
02/13/2007
Last updated
12/08/2008
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