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:
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Health care specialties

SpecialtyCodeLicense #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 16 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 1831114750 NPPES
Other P00417654 RAILROAD MCR

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