Individual
DEBORAH CUELLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5841 S MARYLAND AVE, CHICAGO, IL 60637-1443
(888) 824-0200
Mailing address
150 HARVESTER DR STE 300, BURR RIDGE, IL 60527-5965
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
209026156
IL
363LA2200X
Adult Health Nurse Practitioner
209026156
IL
363LG0600X
Gerontology Nurse Practitioner
209026156
IL
Other
Enumeration date
12/26/2022
Last updated
11/25/2024
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