Individual
DEBRA ANN QUINLAN BETTENHAUSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
5250 NORTH OLD ORCHARD ROAD, SUITE 300, SKOKIE, IL 60077
(847) 763-1791
Mailing address
113 KIMBER DR, NEW LENOX, IL 60451-1131
(815) 325-0949
(815) 462-0949
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
041.279872
IL
Other
Enumeration date
10/23/2013
Last updated
03/09/2018
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