Individual
MRS. SARAH R NUSSBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP-CP
Contact information
Practice address
4709 GOLF RD STE 900, SKOKIE, IL 60076-1244
(847) 676-5394
(773) 679-7183
Mailing address
3104 W JEROME ST, CHICAGO, IL 60645-1143
(773) 981-3347
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
209.026058
IL
Other
Enumeration date
10/12/2022
Last updated
10/12/2022
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