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Individual

DENISE CATHERINE SAMPLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, APN, FNP-BC

Contact information

Practice address
4305 W MEDICAL CENTER DR STE 1, MCHENRY, IL 60050-8425
(815) 759-8100
(815) 759-8106
Mailing address
173 TRUMPET VINE CIR, ELGIN, IL 60124-8662
(847) 341-2868

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.276148
IL
363L00000X
Nurse Practitioner
Primary
209.035555
IL

Other

Enumeration date
05/05/2026
Last updated
05/07/2026
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