Individual
SARAH LANDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6407 MARTIN ST, CRYSTAL LAKE, IL 60014-4959
(815) 322-6758
Mailing address
6407 MARTIN ST, CRYSTAL LAKE, IL 60014-4959
(815) 322-6758
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
056010618
IL
Other
Enumeration date
11/19/2016
Last updated
11/19/2016
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