Riddell, Deborah J

Riddell, Deborah J is an individual health care provider with primary practice located at 2972 Indian Trail Road Suite A, Aurora IL 60502. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Riddell, Deborah J can be contacted via phone (630) 897-7700.

Contact Information

Primary practice address
2972 Indian Trail Road Suite A Aurora IL 60502
Fax: (630) 897-7701
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 309001170 Illinois

Profile Details

NPI number 1760580708
LBN Legal business name Riddell, Deborah J
Credentials APN. CNM
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated Aug 29th, 2014 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760580708 NPPES
Illinois Other 4521469 BC/BS

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