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Deidra Sanford
Family Nurse Practitioner in Chicago, Illinois
NPI 1386106649

Deidra Sanford is a Family Nurse Practitioner based in Chicago, IL and is specialized in Family. Deidra Sanford practices in Chicago, IL. The NPI Number for Deidra Sanford is 1386106649 and holds a License No. 209018992 (Illinois).

The current practice location address for Deidra Sanford is 2600 S Michigan Ave Ste 100, Chicago, IL and can be reached out via phone at 312-996-2655.

Location: 2600 S Michigan Ave Ste 100, Chicago, IL, 60655-3703
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Provider Profile Details
NPI Number
1386106649
Provider Name
Deidra Sanford
Credential
Provider Entity Type
Individual
Gender
Female
Address
2600 S Michigan Ave Ste 100, Chicago, IL, 60655-3703
Phone Number
312-996-2655
Fax Number
Provider Enumeration Date
04/04/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2600 S Michigan Ave Ste 100
City
State
Zip
60616-2857
Phone Number
312-996-2655
Fax Number
person
Provider Business Mailing Address Details
Address
2600 S Michigan Ave Ste 100
City
State
Zip
60616-2857
Phone Number
312-996-2655
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
209018992 (Illinois)
Definition
Definition to come...
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