Individual
MS. SABRINA KELLY EDLBAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-1700
Mailing address
734 MEADOW DR, DES PLAINES, IL 60016-1144
(847) 372-4209
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
041454345
IL
363LG0600X
Gerontology Nurse Practitioner
041454345
IL
Other
Enumeration date
08/29/2023
Last updated
08/29/2023
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