Individual
EILEEN MARY JUREVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
31 W 155TH ST, HARVEY, IL 60426-3556
(708) 596-5177
(708) 569-5518
Mailing address
31 W 155TH ST, HARVEY, IL 60426-3556
(708) 596-5177
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
041204760
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041204760
REGISTERED PROFESSIONAL NURSE
IL
Enumeration date
05/04/2018
Last updated
05/04/2018
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