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Individual

SARAH NICOLE VANDERMOLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, CNP

Contact information

Practice address
675 N SAINT CLAIR ST STE 20-100, CHICAGO, IL 60611-5970
(312) 695-4360
(312) 695-4430
Mailing address
675 N SAINT CLAIR ST STE 20-100, CHICAGO, IL 60611-5970
(312) 695-4360
(312) 695-4430

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209017229
IL
363LF0000X
Family Nurse Practitioner
209-017229
IL
363LF0000X
Family Nurse Practitioner
4704302656
MI

Other

Enumeration date
01/09/2014
Last updated
11/20/2023
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