Individual
DEBORAH K MCDERMOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4 PARK PL, SWANSEA, IL 62226-2965
(618) 277-7500
(618) 277-4236
Mailing address
PO BOX 23340, SAINT LOUIS, MO 63156-3340
(618) 277-7500
(618) 277-4236
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036-061906
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000010025
ESSENCE
IL
05
—
036061906
—
IL
01
—
0407153
UHC
IL
01
—
08221955
BCBS
IL
01
—
122607
HEALTHLINK
IL
01
—
127467
GHP
IL
01
—
2788
BCBS TRI ST
IL
01
—
4227190
AETNA
IL
05
—
4545931822
—
IL
01
—
C45318
MERCY
IL
Enumeration date
11/07/2005
Last updated
10/24/2012
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