Individual
DEBRA PETRONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3130 PEORIA ST, STEGER, IL 60475-1037
(815) 325-6512
Mailing address
1222 S 3RD AVE, KANKAKEE, IL 60901-4911
(815) 325-6512
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
041206872
IL
Other
Enumeration date
12/06/2016
Last updated
12/06/2016
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