SALLIE VAN DAELE

ROCKFORD, IL
NPI1215097837
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: IL  209-004897)
Enumeration Date2006-12-12
Last Update Date2011-07-18
Business Address
SALLIE VAN DAELE NP
2350 N ROCKTON AVE
ROCKFORD, IL 61103-3600
Phone number: 815-971-2200
Mailing Address
SALLIE VAN DAELE NP
2350 N ROCKTON AVE
ROCKFORD, IL 61103-3600
Phone number: 815-971-2200
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