Individual
DEIDRA J STINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
470 TORRENCE AVE, CALUMET CITY, IL 60409-2306
(708) 832-2943
Mailing address
17622 ROSEWOOD DR APT 3A, LANSING, IL 60438-1736
(798) 638-0414
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041155868
IL
Other
Enumeration date
12/28/2020
Last updated
12/28/2020
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