Individual
LENNY DEGUZMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
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
363LG0600X
Gerontology Nurse Practitioner
Primary
209-021895
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209-021895
APN LICENSE
IL
Enumeration date
09/22/2020
Last updated
09/14/2021
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