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Contact Information

PENNI L EXTON, RN
424 N LOCUST ST
MOMENCE, IL60954-1236
 Phone: 219-973-8716
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Wound Care

163WW0000X
Indicates primary specialty

NPI Profile & details for PENNI L EXTON · (Female)

NPI # 1417628249
Status Active
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 09/22/2021
Last updated 09/22/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 04148062
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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