DEBRA PENNINGTON CRNP NPI 1568452852

NPI Information

  • NPI: 1568452852
  • Provider Name: DEBRA PENNINGTON, CRNP
  • Classification: Nurse Practitioner - 363LW0102X
  • Specialization: Women's Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1020 11TH AVE
    GREAT LAKES, IL
    ZIP 60088
  • Phone: (847) 688-5568

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NPI Details

Debra Pennington, CRNP is a women's health nurse practitioner in Great Lakes, IL. Debra Pennington, CRNP NPI is 1568452852. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1020 11TH AVE
GREAT LAKES, IL
ZIP 60088-102
Phone: (847) 688-5568

The NPI 1568452852 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/27/2005 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LW0102XNurse PractitionerWomen's HealthSP005810VPENNSYLVANIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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