Individual
THERESA TEVERBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, APRN
Contact information
Practice address
16902 MANOR DR, SOUTH HOLLAND, IL 60473-4609
(708) 474-0682
(708) 474-0766
Mailing address
16902 MANOR DR, SOUTH HOLLAND, IL 60473-4609
(708) 474-0682
(708) 474-0766
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041280095
IL
Other
Enumeration date
09/30/2013
Last updated
09/30/2013
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