Dagdick, Laura L

Dagdick, Laura L is an individual health care provider with primary practice located at 650 Dakota St Ste A , Crystal Lake IL 60012-3744. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Dagdick, Laura L can be contacted via phone (815) 455-6000.

Contact Information

Primary practice address
650 Dakota St Ste A Crystal Lake IL 60012-3744
Phone: (815) 455-6000
Fax: (815) 356-1104
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209009741 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209009741 Illinois

Profile Details

NPI number 1255689543
LBN Legal business name Dagdick, Laura L
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2012
Last updated Dec 19th, 2018 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1255689543 NPPES
Illinois Other 209009741 STATE LICENSE

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