Individual
DEBRA PENNINGTON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1020 11TH AVE, GREAT LAKES, IL 60088-3102
(847) 688-5568
Mailing address
973 S DARLA CT, WAUKEGAN, IL 60085-8658
(847) 688-5568
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
SP005810V
PA
Other
Enumeration date
10/27/2005
Last updated
07/08/2007
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