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Individual

MS. DEBORAH LEE WOLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
1901 W. HARRISON, CHICAGO, IL 60612-3741
(312) 864-6000
(312) 572-4559
Mailing address
1812 MULFORD ST, EVANSTON, IL 60202-3245
(847) 869-6947
(312) 572-4559

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209-001448
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
041-164514
REGISTERED NURSE
IL
01
209-001448
ADVANCED PRACTICE NURSE
IL
01
309-000992
APN CONTROLLED SUBTANCE
IL
Enumeration date
03/26/2007
Last updated
03/07/2023
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