Individual
BONNIE DURBIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2561 DELMAR AVE, GRANITE CITY, IL 62040-3429
(618) 999-1668
Mailing address
2243 EDISON AVE, GRANITE CITY, IL 62040-4720
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
2251E1200X
Ergonomics Physical Therapist
—
—
242T00000X
Perfusionist
—
—
246QB0000X
Blood Banking Specialist/Technologist
—
—
246QC2700X
Cytotechnology Specialist/Technologist
—
—
246Y00000X
Health Information Specialist/Technologist
—
—
246Z00000X
Other Specialist/Technologist
—
—
251K00000X
Public Health or Welfare Agency
—
—
261QR1100X
Research Clinic/Center
—
IL
Other
Enumeration date
01/21/2022
Last updated
01/21/2022
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