person
Sully Vega
Family Nurse Practitioner in Wauconda, Illinois
NPI 1699434266

Sully Vega is a Family Nurse Practitioner based in Wauconda, IL and is specialized in Family. Sully Vega practices in Wauconda, IL. The NPI Number for Sully Vega is 1699434266 and holds a License No. 041424936 (Illinois).

The current practice location address for Sully Vega is 431 W Liberty St, Wauconda, IL and can be reached out via phone at 847-526-2151 and via fax at 847-526-2017. You can also correspond with Sully Vega through the mailing address at PO BOX 6037, WAUCONDA, IL - 60084-6037 (mailing address contact number: 847-526-2151).

Location: 431 W Liberty St, Wauconda, IL, 60084-6037
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Provider Profile Details
NPI Number
1699434266
Provider Name
Sully Vega
Credential
Provider Entity Type
Individual
Gender
Female
Address
431 W Liberty St, Wauconda, IL, 60084-6037
Phone Number
847-526-2151
Fax Number
847-526-2017
Provider Enumeration Date
12/10/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
431 W Liberty St
City
State
Zip
60084-2452
Phone Number
847-526-2151
Fax Number
847-526-2017
person
Provider Business Mailing Address Details
Address
431 W Liberty St
City
State
Zip
60084-2452
Phone Number
847-526-2151
Fax Number
847-526-2017
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
209024893 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
041424936 (Illinois)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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