Individual
DEBRA ELAINE PILATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17066 RIDGEWOOD AVE, LANSING, IL 60438-1137
(708) 398-3385
Mailing address
17066 RIDGEWOOD AVE, LANSING, IL 60438-1137
(708) 398-3385
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041836274
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041836274
IL DEPT PROF REGULATIONS
IL
Enumeration date
02/18/2019
Last updated
02/18/2019
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