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Individual

GINA T GEDUTIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, FNP-C

Contact information

Practice address
16519 S ROUTE 59, PLAINFIELD, IL 60586-2606
(630) 646-5020
(630) 646-5025
Mailing address
16519 S ROUTE 59, PLAINFIELD, IL 60586-2607
(630) 646-5020
(630) 646-5025

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
277001729
IL
363LF0000X
Family Nurse Practitioner
209.017780
IL

Other

Enumeration date
07/21/2018
Last updated
01/03/2025
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