Doctor Name: | JEANNE STERRICKER-RYDELL |
NPI Number: | 1366738585 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APN, NP-C |
License Number: | 209.008712 |
Business Practice Address: | 552 Randall Rd South Elgin, IL - 601773315 |
Business Phone Number: | 8476979100 |
Business Fax Number: | 8476975105 |
Mailing Address: | 552 Randall Rd, SOUTH ELGIN |
State: | IL |
Postal Code: | 601773315 |
Phone Number: | 8476979100 |
Fax Number: | 8476975105 |
NPI Enumeration Date: | 06/27/2011 |
NPI Last Update Date: | 02/25/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 209.008712 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |