IndividualActive
Deborah Pruim, APN
NPI 1730470717 · Gerontology Registered Nurse · Crestwood, IL
Provider details
- NPI number
- 1730470717
- Entity type
- Individual
- Primary specialty
- Gerontology Registered NurseNursing Service Providers
- Credential
- APN
- Sex
- Female
- Sole proprietor
- No
- License
- 209.006225 (IL)
Specialties & taxonomies
Nursing Service Providers
Practice location
13655 Laramie Ave
Crestwood, IL 60445-1566
Phone: (708) 371-3480
Approximate (ZIP-level) locationGet directions
Mailing address
13655 Laramie Ave
Crestwood, IL 60445-1566
Registry dates
- Enumerated
- 2011-04-26
- Last updated
- 2016-04-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.