Individual
MRS. GERMAINE A DESRUISSEAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1228 E 53RD ST, CHICAGO, IL 60615-4008
(773) 752-1425
Mailing address
161 WASHINGTON ST FL 14, EIGHT TOWER BRIDGE, SUITE 1400, CONSHOHOCKEN, PA 19428-2083
(484) 351-3206
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209006672
IL
Other
Enumeration date
10/19/2007
Last updated
10/17/2017
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