Individual
CANDACE SANJURJO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1969 W OGDEN AVE, CHICAGO, IL 60612-3765
(312) 965-3079
Mailing address
1648 N KARLOV AVE, CHICAGO, IL 60639-5210
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041442012
IL
Other
Enumeration date
01/16/2025
Last updated
01/16/2025
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