Individual
LILLIE GURTISEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN BSN
Contact information
Practice address
18601 N CREEK DR, TINLEY PARK, IL 60477-6397
(708) 342-8100
Mailing address
361 ADAMS AVE, GLENCOE, IL 60022-1814
(708) 821-5438
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041223892
IL
163W00000X
Registered Nurse
Primary
223892
IL
Other
Enumeration date
09/25/2021
Last updated
09/25/2021
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