Individual
ABAGAIL STALCUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
32 S MAIN ST STE B, SUGAR GROVE, IL 60554-5028
(815) 634-6460
Mailing address
32 S MAIN ST STE B, SUGAR GROVE, IL 60554-5028
(815) 634-6460
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
209015902
IL
363LF0000X
Family Nurse Practitioner
Primary
377001421
IL
Other
Enumeration date
04/20/2017
Last updated
05/21/2024
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