DONNA LYNN DEROSE

CRYSTAL LAKE, IL
NPI1285168120
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: IL  209015563)
Enumeration Date2017-04-18
Last Update Date2017-04-18
Business Address
-- DONNA LYNN DEROSE APN
145 S VIRGINIA ST
CRYSTAL LAKE, IL 60014-7226
Phone number: 815-444-9999
Mailing Address
-- DONNA LYNN DEROSE APN
8802 REESE RD
HARVARD, IL 60033-9125
Phone number: 815-600-6979
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