Individual
MS. OLIS DENISE RUNESTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNP
Contact information
Practice address
1 KISH HOSPITAL DR, DEKALB, IL 60115-9602
(815) 766-7334
(815) 766-9768
Mailing address
1 KISH HOSPITAL DR, DEKALB, IL 60115-9602
(815) 766-7334
(815) 766-9768
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
041370130
IL
363L00000X
Nurse Practitioner
Primary
209026915
IL
Other
Enumeration date
03/21/2023
Last updated
01/05/2024
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