Healthcare Provider Details

I. General information

NPI: 1780849059
Provider Name (Legal Business Name): DEBORAH F DUEY CNS, APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DEBORAH F KARANTZIS

II. Dates (important events)

Enumeration Date: 07/25/2008
Last Update Date: 03/06/2025
Certification Date: 03/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1775 BALLARD RD
PARK RIDGE IL
60068-1005
US

IV. Provider business mailing address

29373 NETWORK PL
CHICAGO IL
60673-1293
US

V. Phone/Fax

Practice location:
  • Phone: 630-220-4228
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SA2200X
TaxonomyAdult Health Clinical Nurse Specialist
License Number209.005487
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: