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Individual

SHARON PYTEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
351 DELNOR DR, GENEVA, IL 60134-4222
(630) 938-9600
(630) 933-7839
Mailing address
300 RANDALL RD, GENEVA, IL 60134-4200
(630) 208-4460
(630) 208-4338

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209006950
IL
363LA2200X
Adult Health Nurse Practitioner
209.006950
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
04515143
BCBS#
IL
01
260147
MEDICARE PTAN (GROUP)
IL
01
F400183971
MEDICARE PTAN (INDIVIDUAL)
IL
Enumeration date
03/12/2008
Last updated
08/21/2019
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