Individual
ERIC C DEAKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
5230 S BLACKSTONE AVE, CHICAGO, IL 60615-4106
(773) 256-1475
(773) 256-1481
Mailing address
205 W WACKER DR, SUITE 1020, CHICAGO, IL 60606-1216
(312) 640-0329
(312) 640-0407
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
05008712A
IN
225100000X
Physical Therapist
Primary
070017505
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000373702
ANTHEM - MBWOUDE
IN
01
—
000000373723
ANTHEM - 1ST AID PLUS
IN
01
—
000000373726
ANTHEM - APT PLUS
IN
Enumeration date
05/27/2006
Last updated
08/13/2014
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