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Individual

ERIN FRUTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN, AGCNS-BC

Contact information

Practice address
2160 S 1ST AVE, LOYOLA MEDICAL CENTER, DEPARTMENT OF UROLOGY, MAYWOOD, IL 60153
(708) 216-5100
(708) 216-1699
Mailing address
2160 S 1ST AVE, LOYOLA MEDICAL CENTER, DEPARTMENT OF UROLOGY, MAYWOOD, IL 60153-3328
(708) 216-5100
(708) 216-1699

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209013564
IL
364SA2200X
Adult Health Clinical Nurse Specialist
209013564
IL

Other

Enumeration date
06/13/2016
Last updated
07/15/2024
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