Individual
DEBRA JEAN HULFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
16450 104TH AVE, SUITE #101, ORLAND PARK, IL 60467-5441
(708) 349-0070
(708) 349-0077
Mailing address
17910 HOOD AVE, HOMEWOOD, IL 60430-1911
(708) 224-9479
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209005607
IL
Other
Enumeration date
10/17/2006
Last updated
03/13/2012
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