Individual
MR. EDGARDO M SARMIENTO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
808 S WOOD 4TH FLOOR DEPT OF EMERGENCY MEDICINE, UNIVERSITY OF ILLINOIS HOSPITAL, CHICAGO, IL 60612-7300
(773) 220-9363
Mailing address
133 WILLOW BLVD, WILLOW SPRINGS, IL 60480-1646
(773) 220-9363
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
209009054
IL
Other
Enumeration date
12/07/2011
Last updated
08/11/2016
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