Demetrius Cornell Nance

Clinical Social Worker · Waukegan, IL

Individual Active NPI

NPI number 1083338669

Practice location

415 Washington St
Waukegan, IL 60085-5564
Phone
(847) 441-5600

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NPI record

NPI
1083338669
Entity type
Individual (Type 1)
Enumeration date
September 28, 2022
Last updated
June 22, 2023
Certified
June 22, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Clinical Social Worker Primary 1041C0700X — —
Student in an Organized Health Care Education/Training Program 390200000X — —

Mailing address

405 Central Ave
Northfield, IL 60093-3006

About Demetrius Nance

Demetrius Cornell Nance is a healthcare provider registered in the NPI registry with the primary taxonomy Clinical Social Worker (code 1041C0700X). The practice location is 415 Washington St, Waukegan, IL 60085-5564. The NPI number 1083338669 was assigned on September 28, 2022 and the record was last updated on June 22, 2023.

Frequently asked questions

What is the NPI number of Demetrius Cornell Nance?

The NPI number is 1083338669.

What is the phone number of Demetrius Nance?

The phone number listed for the practice location is (847) 441-5600.

Where is Demetrius Nance located?

415 Washington St, Waukegan, IL 60085-5564.

What is the taxonomy code for Demetrius Nance?

The primary taxonomy code is 1041C0700X – Clinical Social Worker; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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