Duddles, Diane L
Duddles, Diane L is an individual health care provider with primary practice located at 660 N. Westmoreland Road Lake Forest Emergency Dept, Lake Forest IL 60045-1659. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Duddles, Diane L can be contacted via phone (847) 535-6150.Contact Information
Primary practice address
660 N. Westmoreland Road Lake Forest Emergency Dept
Lake Forest IL 60045-1659
Phone: (847) 535-6150
Fax: (847) 535-7801
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 209001910 | Illinois |
Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 209-001910 | Illinois |
Profile Details
NPI number | 1831114750 |
---|---|
LBN Legal business name | Duddles, Diane L |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 13th, 2006 |
Last updated | Apr 20th, 2010 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1831114750 | NPPES |
Other | P00417654 | RAILROAD MCR |
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