Individual
AL U SANGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
420 WALNUT CREEK LN UNIT 3506, LISLE, IL 60532-1946
(708) 364-0580
Mailing address
420 WALNUT CREEK LN UNIT 3506, LISLE, IL 60532-1946
(708) 364-0580
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.014490
IL
Other
Enumeration date
01/06/2017
Last updated
03/21/2019
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