MRS. DEBRA S KRUZAN


Address: 13785 1st St, Pekin, IL 61554-8377
Phone: 3092415363

MRS. DEBRA S KRUZAN (NPI# 1730735077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730735077
Entity Type Individual
Full Name MRS. DEBRA S KRUZAN
Practice Address 13785 1st St
Pekin
IL 61554-8377
Practice Telephone 3092415363
Mailing Telephone 3092415363
Enumeration Date 2019-08-13
Last Update Date 2019-08-13
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3747A0650X Technician
Specialization: Attendant Care Provider
Nursing Service Related Providers

Office Location

Street Address 13785 1ST ST
City PEKIN
State IL
Zip Code 61554-8377

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194279000 Shauna L Bivens Nurse Practitioner 3400 Griffin Ave., Pekin, IL 61554 2016-08-09
1720349780 Neal Family Chiropractic PC Chiropractor 2978 Court St., Pekin, IL 61554 2012-06-06
1366750671 Dennis Kammerer Stoller Dentist 1608 Broadway, Pekin, IL 61554 2010-09-21
1013186683 Tazwood Mental Health Center, Inc. Community Based Residential Treatment Facility, Mental Illness 1421 Valle Vista Blvd, Pekin, IL 61554 2008-02-27
1568631133 Tazwood Mental Health Center, Inc. Community Based Residential Treatment Facility, Mental Illness 1425 Valle Vista Blvd, Pekin, IL 61554 2008-02-27
1689856312 Pekin Supportive Living Limited Patnership Assisted Living Facility 1320 Executive Court, Pekin, IL 61554 2007-12-05
1205034824 Winfield Curtis Morgan Dentist 1503 Valle Vista, Pekin, IL 61554 2007-07-05
1376769638 Debra Mollie Davis Registered Nurse 2079 Edgewater Dr, Pekin, IL 61554 2007-04-17
1649308230 Tazewell County Health Department -dental Health Center Public Health or Welfare 135 Radio City Drive, Suite A & B, North Pekin, IL 61554 2007-03-02
1528118239 Jerry Lee Marshall Dentist 135a-b Radio City Drive, North Pekin, IL 61554 2007-01-12
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Taxonomy Information

Taxonomy Code 3747A0650X
Grouping Nursing Service Related Providers
Classification Technician
Specialization Attendant Care Provider

Taxonomy Definition

An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1679182976 Barbara S Link Technician 5154 St Rd.60 1, Pekin, IN 47165 2020-07-23

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1881294874 Paulette Lovelace Technician 521 Vicksburg Dr, Belleville, IL 62221-6670 2020-10-28
1891395893 Cheryl Lynn Eubanks Technician 1710 Mccasland Ave, East Saint Louis, IL 62207-2245 2020-10-28
1043818446 Sabrina Marie Williams Technician 211 S Lodge St, Shelbyville, IL 62565-1951 2020-10-16
1124626213 Tonya Lee Burdell Technician 315 S Douglas St, Litchfield, IL 62056-1851 2020-10-12
1720685704 Itzayana Rodriguez Technician 5037 Carol Ct, Rockford, IL 61108-4157 2020-10-02
1871108209 Ashley Marie Dawkins Technician 528 Grant Dr, Quincy, IL 62301-7234 2020-09-11
1104437797 Stephen T Medford Technician 1017 Hartman Ln, O Fallon, IL 62269-7207 2020-08-16
1528685088 Maxine Washington Technician 2014 S. 17th Ave., Broadview, IL 60155-2906 2020-07-01
1316562788 Salli Jacobsen Technician 6699 Torch Lite Tr, Loves Park, IL 61111 2020-06-11
1356962377 Brenda Lou Isermann Technician 406 W South 2nd St, Shelbyville, IL 62565-2114 2020-04-30
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Competitor

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City PEKIN
Zip Code 61554

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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