person
Ms. Sandra Lynn Mikulich, APN
Family Nurse Practitioner in Hazel Crest, Illinois
NPI 1528216082

Sandra Lynn Mikulich is a Family Nurse Practitioner based in Chicago, IL and is specialized in Family. Sandra Lynn Mikulich practices in Hazel Crest, IL and has the professional credentials of APN. The NPI Number for Sandra Lynn Mikulich is 1528216082 and holds a License No. 209007221 (Illinois).

The current practice location address for Sandra Lynn Mikulich is 17850 Kedzie Ave Ste 3250, Hazel Crest, IL and can be reached out via phone at 708-799-8700 and via fax at 708-957-1830.

Location: 17850 Kedzie Ave Ste 3250, Hazel Crest, IL, 60673-1293
person
Provider Profile Details
NPI Number
1528216082
Provider Name
Sandra Lynn Mikulich
Credential
APN
Provider Entity Type
Individual
Gender
Female
Address
17850 Kedzie Ave Ste 3250, Hazel Crest, IL, 60673-1293
Phone Number
708-799-8700
Fax Number
708-957-1830
Provider Enumeration Date
09/08/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3160176976 01 IL BLUE CROSS
CM7411 01 IL RAILROAD MEDICARE
P00694835 01 IL RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
17850 Kedzie Ave Ste 3250
City
State
Zip
60429-2082
Phone Number
708-799-8700
Fax Number
708-957-1830
person
Provider Business Mailing Address Details
Address
17850 Kedzie Ave Ste 3250
City
State
Zip
60429-2082
Phone Number
708-799-8700
Fax Number
708-957-1830
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
209007221 (Illinois)
Definition
Definition to come...
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