Individual
JOANNA STURNIEKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5851 W 95TH ST STE 100, OAK LAWN, IL 60453-2415
(708) 636-1601
Mailing address
1092 NORWALK RD, LEMONT, IL 60439-8557
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209020973
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209020973
—
IL
Enumeration date
03/03/2020
Last updated
03/03/2020
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