SULLY VEGA

WAUKEGAN, IL
NPI1699434266
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209024893)
Enumeration Date2021-12-10
Last Update Date2025-06-11
Business Address
SULLY VEGA
3210 GRAND AVE
WAUKEGAN, IL 60085-2204
Phone number: 847-220-4103
Mailing Address
SULLY VEGA
PO BOX 746715
ATLANTA, GA 30374-6715
Phone number: 773-352-1515