| Doctor Name: | DEBRA ANN QUINLAN BETTENHAUSEN |
| NPI Number: | 1013345347 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | BSN, RN |
| License Number: | 041.279872 |
| Business Practice Address: | 550 Warrenville Rd Lisle, IL - 605324308 |
| Business Phone Number: | 6307257329 |
| Business Fax Number: | |
| Mailing Address: | 113 Kimber Dr, NEW LENOX |
| State: | IL |
| Postal Code: | 604511131 |
| Phone Number: | 8153250949 |
| Fax Number: | 8154620949 |
| NPI Enumeration Date: | 10/23/2013 |
| NPI Last Update Date: | 10/25/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC0400X |
| License Number: | 041.279872 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Case Management |
| Taxonomy Definition: | |