Individual
CHEQUALEIS SARGENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
800 BLACK RD, JOLIET, IL 60435-5942
(815) 727-6667
Mailing address
800 BLACK RD, JOLIET, IL 60435-5942
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
041.417228
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209023870
IL
Other
Enumeration date
11/28/2017
Last updated
01/14/2026
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