Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | 209004214 | IL |
NPI | 1053698753 |
---|---|
Provider Name | Sharyl L Sadowski |
First Address | Orland Park, IL 60467-1038 |
Second Address | Hazel Crest, IL 60429-2029 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/11/2011 |
Last Update Date | 08/11/2011 |