Provider Demographics
NPI:1942561725
Name:SITZ, DEBORAH C (RN)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:C
Last Name:SITZ
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7222 W CERMAK RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:NORTH RIVERSIDE
Mailing Address - State:IL
Mailing Address - Zip Code:60546-1422
Mailing Address - Country:US
Mailing Address - Phone:708-447-2448
Mailing Address - Fax:708-447-2445
Practice Address - Street 1:7222 W CERMAK RD
Practice Address - Street 2:SUITE 200
Practice Address - City:NORTH RIVERSIDE
Practice Address - State:IL
Practice Address - Zip Code:60546-1422
Practice Address - Country:US
Practice Address - Phone:708-447-2448
Practice Address - Fax:708-447-2445
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-07
Last Update Date:2012-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041.211581163WG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0600XNursing Service ProvidersRegistered NurseGerontology