Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | 209004336 | IL |
NPI | 1023074051 |
---|---|
Provider Name | Sheila Treftz |
First Address | Naperville, IL 60540-7430 |
Second Address | Naperville, IL 60540-6508 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2006 |
Last Update Date | 26/01/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
209004336 | IL LICENSE NUMBER (01) | IL |
MT0841975 | DEA NUMBER (01) | IL |