Individual
ANDREA RENATA DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-9000
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-9000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301091728
MI
207RH0000X
Hematology (Internal Medicine) Physician
036135830
IL
207RH0003X
Hematology & Oncology Physician
Primary
036135830
IL
Other
Enumeration date
09/10/2008
Last updated
05/17/2022
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