Organization · Type 2 NPI

Shark Addiction Treatment

Family Nurse Practitioner · Vernon Hills, IL

NPI number 1912519786 Active

Practice location

1111 N Milwaukee Ave Unit 242
Vernon Hills, IL 60061-1658

Specialties and licenses

TaxonomyCodeLicense
Addiction Medicine (Family Medicine) Physician 207QA0401XNone listed
Family Nurse Practitioner Primary 363LF0000XNone listed

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About NPI 1912519786

Shark Addiction Treatment's National Provider Identifier is 1912519786, issued on Aug 21, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Vernon Hills, IL. The record was last updated on Aug 28, 2020.