Individual
DEANNA LYNN DESAER THORSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
676 N SAINT CLAIR ST STE 800, CHICAGO, IL 60611-2978
(312) 695-5753
(312) 695-5645
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-9000
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036160928
IL
2085R0202X
Diagnostic Radiology Physician
1043741390
IL
Other
Enumeration date
03/27/2017
Last updated
09/28/2022
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