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Individual

SUZANA DRAGINIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FPA-APRN, AGNP,IFMCP

Contact information

Practice address
825 S WAUKEGAN RD, LAKE FOREST, IL 60045-2696
(815) 405-7137
(833) 800-0135
Mailing address
825 S WAUKEGAN RD STE A8, LAKE FOREST, IL 60045-2665
(815) 405-7137
(833) 800-0135

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
277.003847
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
277.003847
STATE OF ILLINOIS FULL PRACTICE AUTHORITY
IL
Enumeration date
11/18/2019
Last updated
03/20/2025
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