Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RA0201X | Internist - Allergy & Immunology | 0385000369 | IL |
NPI | 1740389493 |
---|---|
Provider Name | Ms. Sandra N Denman |
First Address | Gurnee, IL 60031-4571 |
Second Address | Gurnee, IL 60031-4573 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/09/2006 |
Last Update Date | 10/12/2021 |