TERESA FORTENBERRY

MAYWOOD, IL
NPI1710375043
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IL  209-011536)
Enumeration Date2015-01-09
Last Update Date2022-01-27
Business Address
TERESA FORTENBERRY NURSE PRACTITIONER
2160 S 1ST AVE
MAYWOOD, IL 60153-3328
Phone number: 708-216-9000
Mailing Address
TERESA FORTENBERRY NURSE PRACTITIONER
2160 S 1ST AVE
MAYWOOD, IL 60153-3328
Phone number: