Individual
IVELISSE SANCHEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
(414) 389-2542
Mailing address
2011 N 74TH CT, ELMWOOD PARK, IL 60707-3111
(773) 484-8540
Taxonomy
Speciality
Code
Description
License number
State
364SP0200X
Pediatric Clinical Nurse Specialist
Primary
041331550
IL
Other
Enumeration date
07/07/2022
Last updated
07/07/2022
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