Individual
MRS. CAROL SUE VICTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN, CDE
Contact information
Practice address
1775 DEMPSTER ST, T09303, PARK RIDGE, IL 60068-1143
(847) 723-7408
(847) 723-4690
Mailing address
1775 DEMPSTER ST, T09303, PARK RIDGE, IL 60068-1143
(847) 723-7408
(847) 723-4690
Taxonomy
Speciality
Code
Description
License number
State
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
209008418
IL
Other
Enumeration date
04/12/2011
Last updated
04/12/2011
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