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Contact Information

LAURA REDENIUS
400 RIVERSIDE DR STE 2800
BOURBONNAIS, IL60914-5004
 Phone: 815-935-1100
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Obstetric, Inpatient

163WX0003X
Indicates primary specialty

NPI Profile & details for LAURA REDENIUS · (Female)

NPI # 1558119784
Status Active
Credentials
Entity Individual
Enumeration date 05/13/2024
Last updated 08/09/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 041376403
  • IL License # 209030117
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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