Individual
AMELIA L. DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
320 N MADISON, PITTSFIELD, IL 62363
(217) 285-9601
Mailing address
1025 MAINE ST, QUINCY, IL 62301-4038
(217) 222-6550
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036101467
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036101467
—
IL
Enumeration date
02/09/2006
Last updated
08/12/2013
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