Individual
CORINNE MARIE FUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
4001 W DAYTON ST, MCHENRY, IL 60050-8377
(815) 759-7122
Mailing address
9711 ILLINOIS ST, HEBRON, IL 60034-8891
(815) 759-7122
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
05/05/2016
Last updated
05/05/2016
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