Individual
MS. TERINA DONEGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1489 FREELAND AVE, CALUMET CITY, IL 60409-6251
(708) 730-9415
Mailing address
1489 FREELAND AVE, CALUMET CITY, IL 60409-6251
(708) 730-9415
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043.108171
IL
164W00000X
Licensed Practical Nurse
27063343A
IN
Other
Enumeration date
11/13/2009
Last updated
11/13/2009
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