Individual
SARA DOORNBOSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6356 W 95TH ST, OAK LAWN, IL 60453-2202
(708) 907-4355
Mailing address
6356 W 95TH ST, OAK LAWN, IL 60453-2202
(708) 907-4355
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209020912
IL
Other
Enumeration date
04/09/2020
Last updated
08/09/2021
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