Individual
LAURA REDENIUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
400 RIVERSIDE DR STE 2800, BOURBONNAIS, IL 60914-5004
(815) 935-1100
Mailing address
400 RIVERSIDE DR STE 2800, BOURBONNAIS, IL 60914-5004
(815) 935-1100
Taxonomy
Speciality
Code
Description
License number
State
163WX0003X
Inpatient Obstetric Registered Nurse
041376403
IL
363L00000X
Nurse Practitioner
Primary
209030117
IL
Other
Enumeration date
05/13/2024
Last updated
08/09/2024
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