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Individual

DEYAN R. ORTWIG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APN-CNP

Contact information

Practice address
800 W CENTRAL RD, ARLINGTON HEIGHTS, IL 60005-2349
(847) 618-5075
(847) 618-3259
Mailing address
800 W CENTRAL RD, ARLINGTON HEIGHTS, IL 60005-2349
(847) 618-5075
(847) 618-3259

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
277000632
IL
363LF0000X
Family Nurse Practitioner
209-003571
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
209003571
STATE LICENSE
IL
Enumeration date
07/08/2006
Last updated
05/05/2026
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