Mrs Deborah A Pruim, APN is a
Registered Nurse - Gerontology based in Crestwood, Illinois. Mrs Deborah A Pruim is licensed to practice in Illinois (license number 209.006225) and her current practice location is
13655 Laramie Ave, Crestwood, Illinois. She can be reached at her office (for appointments etc.) via phone at
(708) 371-3480.
NPI number for Mrs Deborah A Pruim is 1730470717 and her current mailing address is 13655 Laramie Ave, Crestwood, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1730470717.
Provider's Profile
Full Name | Mrs Deborah A Pruim |
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Gender | Female |
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Speciality | Registered Nurse - Gerontology |
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Location | 13655 Laramie Ave, Crestwood, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1730470717
- Provider Enumeration Date: 04/26/2011
- Last Update Date: 04/04/2016
Medical Identifiers
Medical identifiers for Mrs Deborah A Pruim such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1730470717 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163WG0600X | Registered Nurse - Gerontology | 209.006225 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Deborah A Pruim is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Deborah A Pruim, APN 13655 Laramie Ave, Crestwood, IL 60445-1566 Ph: (708) 371-3480 | Mrs Deborah A Pruim, APN 13655 Laramie Ave, Crestwood, IL 60445-1566 Ph: (708) 371-3480 |
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