Individual
DEBRA MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNPC
Contact information
Practice address
120 CRESCENT AVENUE, PEORIA, IL 61603
(309) 672-4670
Mailing address
5100 RELIABLE PARKWAY, CHICAGO, IL 60686
(309) 672-4809
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
IL
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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