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1710375043
TERESA FORTENBERRY
MAYWOOD, IL
NPI
1710375043
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IL 209-011536)
Enumeration Date
2015-01-09
Last Update Date
2022-01-27
Business Address
TERESA FORTENBERRY NURSE PRACTITIONER
2160 S 1ST AVE
MAYWOOD, IL 60153-3328
Phone number: 708-216-9000
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Mailing Address
TERESA FORTENBERRY NURSE PRACTITIONER
2160 S 1ST AVE
MAYWOOD, IL 60153-3328
Phone number:
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