Whalio Doctors

NPI 1174110035

Deidra J Stinson

Practitioner Registered Nurse Calumet City, IL

Practice location

Address
470 Torrence Ave, Calumet City, IL 60409-2306
Phone
(708) 832-2943
Mailing address
17622 Rosewood Dr APT 3a, Lansing, IL 60438-1736

Registered specialties

Registered Nurse Primary
Nursing Service Providers Taxonomy 163W00000X Licence 041155868 (IL)

Registry record

NPI
1174110035
Entity type
Individual
Sex (as registered)
Female
NPI issued
28 Dec 2020
Record last updated
28 Dec 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.