Individual
DIANE DUDAS SHEEHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP, APN
Contact information
Practice address
225 E CHICAGO AVE, BOX 69, CHICAGO, IL 60611-2991
(312) 227-6624
(312) 227-9404
Mailing address
225 E CHICAGO AVE, BOX 69, CHICAGO, IL 60611-2991
(312) 227-6624
(312) 227-9404
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209-001176
IL
363LF0000X
Family Nurse Practitioner
209-001176
IL
363LP0200X
Pediatric Nurse Practitioner
Primary
209-001176
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00222141
RAILROAD MEDICARE
IL
Enumeration date
08/04/2006
Last updated
03/18/2014
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