IndividualActive
Deatrice Black, LPN
NPI 1215448352 · Licensed Vocational Nurse · Joliet, IL
Provider details
- NPI number
- 1215448352
- Entity type
- Individual
- Primary specialty
- Licensed Vocational NurseNursing Service Providers
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- No
- License
- 043117036 (IL)
Practice location
503 Bellarmine Dr E Apt 7
Joliet, IL 60436-1838
Phone: (815) 456-9757
Mailing address
503 Bellarmine Dr E Apt 7
Joliet, IL 60436-1838
Registry dates
- Enumerated
- 2017-10-16
- Last updated
- 2017-10-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.