Individual
MARY LOUISE DEANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17121 CALIFORNIA AVE, HAZEL CREST, IL 60429-1117
(773) 354-0347
Mailing address
17121 CALIFORNIA AVE, HAZEL CREST, IL 60429-1117
(773) 354-0347
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/08/2012
Last updated
03/08/2012
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