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Organization

CARDINALIGHT HEALTH, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHARON LARSEN DNP, APN (OWNER, NURSE PRACTITIONER)
(815) 459-7127
Entity
Organization

Contact information

Practice address
380 N TERRA COTTA RD STE E, CRYSTAL LAKE, IL 60012-1809
(815) 459-7127
(949) 404-6466
Mailing address
70 ESTHER ST, CRYSTAL LAKE, IL 60014-6140
(815) 459-7127

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary

Other

Enumeration date
01/13/2019
Last updated
08/09/2020
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