SearchIllinois363LW0102X

Debra Pennington, CRNP

NPI 1568452852 · on the registry since 2005

Practice

Address
1020 11th Ave
Great Lakes, IL 60088
Phone
(847) 688-5568
Clinicians at this address
6

Registry record

Primary taxonomy
363LW0102X
363LW0102X
Licence states on file
PA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-07-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois