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Individual

MR. SERGIO A. SOSA JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
APN-CNP

Contact information

Practice address
3752 W 16TH ST, CHICAGO, IL 60623-2028
(773) 762-2435
Mailing address
3752 W 16TH ST, CHICAGO, IL 60623-2028
(773) 762-2435

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209012266
IL
363LF0000X
Family Nurse Practitioner
209.012266
IL

Other

Enumeration date
12/11/2014
Last updated
05/08/2026
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