Individual
MRS. MARY FE DEATON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2233 W DIVISION ST, CHICAGO, IL 60622-8151
(312) 770-2000
Mailing address
411 W ONTARIO ST, APT 620, CHICAGO, IL 60654-6942
(773) 875-6259
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
209.013582
IL
Other
Enumeration date
05/27/2016
Last updated
05/27/2016
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