DEIDRA SANFORD

CHICAGO, IL
NPI1386106649
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209.018992)
Enumeration Date2019-04-04
Last Update Date2025-07-14
Business Address
DEIDRA SANFORD
9119 S EXCHANGE AVE
CHICAGO, IL 60617-4225
Phone number: 773-299-4616
Mailing Address
DEIDRA SANFORD
9119 S EXCHANGE AVE
CHICAGO, IL 60617-4225
Phone number:
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