SearchIllinois101YM0800X

Mireya Sandoval

NPI 1124743869 · on the registry since 2022

Practice

Address
304 S 2nd St
Rochelle, IL 61068
Phone
(815) 761-2536

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-10-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois