Individual
MRS. DEBORAH A PRUIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
13655 LARAMIE AVE, CRESTWOOD, IL 60445-1566
(708) 371-3480
Mailing address
13655 LARAMIE AVE, CRESTWOOD, IL 60445-1566
(708) 371-3480
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
Primary
209.006225
IL
Other
Enumeration date
04/26/2011
Last updated
04/04/2016
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