Daniels, Deborah Rachel

Daniels, Deborah Rachel is an individual health care provider with primary practice located at 5832 N Knoxville Ave Ste A2 , Peoria IL 61614-4304. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Daniels, Deborah Rachel can be contacted via phone (309) 220-8545.

Contact Information

Primary practice address
5832 N Knoxville Ave Ste A2 Peoria IL 61614-4304
Phone: (309) 220-8545
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 277.001981 Illinois

Profile Details

NPI number 1740533744
LBN Legal business name Daniels, Deborah Rachel
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2012
Last updated Feb 20th, 2026 - about 8 months 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 1740533744 NPPES
Illinois Other 309.005984 CONTROLLED SUBSTANCE

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