Van Daele, Sallie

Van Daele, Sallie is an individual health care provider with primary practice located at 2350 N Rockton Ave , Rockford IL 61103-3600. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Van Daele, Sallie can be contacted via phone (815) 971-2200.

Contact Information

Primary practice address
2350 N Rockton Ave Rockford IL 61103-3600
Phone: (815) 971-2200
Fax: (815) 971-9097
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 209-004897 Illinois

Profile Details

NPI number 1215097837
LBN Legal business name Van Daele, Sallie
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2006
Last updated Jul 18th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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