Individual
ETHAN JOSE EDER SANCHEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSN, RN, FNP-BC
Contact information
Practice address
1203 W AUGUSTA BLVD STE 1, CHICAGO, IL 60642-4327
(773) 248-2255
(773) 304-4143
Mailing address
735 CHICAGO AVE UNIT 243, EVANSTON, IL 60202-2378
(409) 225-4321
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
10068
MN
363LF0000X
Family Nurse Practitioner
Primary
209027034
IL
Other
Enumeration date
04/04/2023
Last updated
08/11/2023
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