Bethany Soule Duyser RN, APN

NPI 1265772743 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1265772743
Gender Female
Enumeration Date 02/21/2013
Last Updated 02/21/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
650 W BUCKINGHAM PL
APT. 1S
CHICAGO IL, 60657-2826, US
Phone (773) 904-7771
Fax
Business Location
650 W BUCKINGHAM PL
APT. 1S
CHICAGO IL, 60657-2826, US
Phone (773) 904-7771
Fax
Toxanomy
Taxonomy Code 363L00000X
License State Illinois
License Number 209010113
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According to our database, Bethany Soule Duyser RN, APN NPI is 1265772743, taxonomy code is 363L00000X and license number is 209010113, license state is located at Illinois. Bethany Soule Duyser RN, APN physically located at 650 W Buckingham Pl, Chicago IL, 60657-2826. NPI Number Bethany Soule Duyser RN, APN has the Individual type.

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1265772743 NPI number is provided on an as is basis without warranty of any kind. 1265772743 is maintained by the National Plan & Provider Enumeration System. The contents of Bethany Soule Duyser RN, APN are for informational purposes only.