Individual
DEBORAH NUSSBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2480 S ROUTE 59, PLAINFIELD, IL 60586-8085
(815) 254-3391
Mailing address
2480 S ROUTE 59, PLAINFIELD, IL 60586-8085
(815) 254-3391
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051-031059
IL
Other
Enumeration date
04/14/2014
Last updated
04/14/2014
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