Individual
DEBORAH JEAN KANTORIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1775 DEMPSTER STREET, PARK RIDGE, IL 60068
(847) 723-8308
Mailing address
1775 DEMPSTER STREET, PARK RIDGE, IL 60068
(847) 723-8308
Taxonomy
Speciality
Code
Description
License number
State
364SA2100X
Acute Care Clinical Nurse Specialist
Primary
209009684
IL
Other
Enumeration date
08/31/2012
Last updated
08/31/2012
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