Individual
ELIZABETH J. DEVANEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7005 JOHNSBURG RD, SPRING GROVE, IL 60081-9365
(815) 675-6622
(815) 675-0044
Mailing address
7005 JOHNSBURG RD, SPRING GROVE, IL 60081-9365
(815) 675-6622
(815) 675-0044
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
32277
WI
207Q00000X
Family Medicine Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31749600
—
WI
Enumeration date
04/12/2007
Last updated
07/08/2007
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