Individual
MICHAEL DEAVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9751 S CHARLES ST APT 1F, CHICAGO, IL 60643-1250
(618) 353-4277
Mailing address
9751 S CHARLES ST APT 1F, CHICAGO, IL 60643-1250
(618) 353-4277
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/07/2021
Last updated
06/07/2021
About Stedi
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