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Contact Information

JUDETH A BROWN SANDUSKY, CN
108 TYLER CREEK PLZ
ELGIN, IL60123-1784
 Phone: 847-742-8225
 Fax: 847-742-8225
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nutritionist

133N00000X
Indicates primary specialty

NPI Profile & details for JUDETH A BROWN SANDUSKY · (Female)

NPI # 1053593673
Status Active
Credentials CN
Entity Individual
Enumeration date 12/05/2007
Last updated 12/19/2007 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 001030
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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