# DR. MARY DEHERRERA-CODO MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780957654
- **Authorized official:** DR. MARY DEHERRERA-CODO MD (OWNER)
- **Authorized official phone:** (630) 848-1332

## Contact information

- **Practice address:** 720 BROM CT, SUIT 204, NAPERVILLE, IL 60540-6531
- **Practice address phone:** (630) 848-1332
- **Practice address fax:** (630) 838-1344
- **Mailing address:** 720 BROM CT, SUIT 204, NAPERVILLE, IL 60540-6531
- **Mailing address phone:** (630) 848-1332
- **Mailing address fax:** (630) 838-1344

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | 03-6082140 | IL | Yes |

## Other

- **Enumeration date:** 02/22/2012
- **Last updated:** 02/22/2012