| Doctor Name: | ANNETTE FRUSHOUR |
| NPI Number: | 1558792036 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | 209.010934 |
| Business Practice Address: | 1640 Willow Circle Dr Crest Hill, IL - 604030959 |
| Business Phone Number: | 8157412525 |
| Business Fax Number: | |
| Mailing Address: | 1640 Willow Circle Dr, CREST HILL |
| State: | IL |
| Postal Code: | 604030959 |
| Phone Number: | 8157412525 |
| Fax Number: | 8157412522 |
| NPI Enumeration Date: | 12/09/2013 |
| NPI Last Update Date: | 05/31/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 209.010934 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |