Deatrice Lavonna Black, LPN - Licensed Vocational Nurse in Joliet, IL

Deatrice Lavonna Black, LPN is a Licensed Vocational Nurse based in Joliet, Illinois. Deatrice Lavonna Black is licensed to practice in Illinois (license number 043117036) and her current practice location is 503 Bellarmine Dr E Apt 7, Joliet, Illinois. She can be reached at her office (for appointments etc.) via phone at (815) 456-9757.

NPI number for Deatrice Lavonna Black is 1215448352 and her current mailing address is 503 Bellarmine Dr E Apt 7, Joliet, Illinois. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1215448352.

Contact Information

Deatrice Lavonna Black, LPN
503 Bellarmine Dr E Apt 7,
Joliet, IL 60436-1838
(815) 456-9757
Not Available



Provider's Profile

Full NameDeatrice Lavonna Black
GenderFemale
SpecialityLicensed Vocational Nurse
Location503 Bellarmine Dr E Apt 7, Joliet, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1215448352
  • Provider Enumeration Date: 10/16/2017
  • Last Update Date: 10/16/2017

Medical Identifiers

Medical identifiers for Deatrice Lavonna Black such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215448352NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164X00000XLicensed Vocational Nurse 043117036 (Illinois)Primary
164W00000XLicensed Practical Nurse 043117036 (Illinois)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Deatrice Lavonna Black is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Deatrice Lavonna Black, LPN
503 Bellarmine Dr E Apt 7,
Joliet, IL 60436-1838

Ph: (815) 456-9757
Deatrice Lavonna Black, LPN
503 Bellarmine Dr E Apt 7,
Joliet, IL 60436-1838

Ph: (815) 456-9757

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Licensed Vocational Nurse Nurses in Joliet, IL


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