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Laurel Dettore, DNSC, MS, RN

NPI 1689929879 · on the registry since 2012 · sole proprietor

Practice

Address: 6827 Stanley Ave
Berwyn, IL 60402
Phone: (708) 795-1520
Fax: (708) 795-1543
Organisation at this address: Allen C Bernthal M D Ltd
Gi And Liver Specialists, Ltd
Midwest Nephrology Associates, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: Community Health Nurse Practitioner
363LC1500X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2012-07-13

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