Individual
BETHANY SOULE DUYSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, APN
Contact information
Practice address
650 W BUCKINGHAM PL, APT. 1S, CHICAGO, IL 60657-2826
(773) 904-7771
Mailing address
650 W BUCKINGHAM PL, APT. 1S, CHICAGO, IL 60657-2826
(773) 904-7771
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209010113
IL
Other
Enumeration date
02/21/2013
Last updated
02/21/2013
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