Individual
DR. KAREN ELISABETH DEFFENBACHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., PH.D.
Contact information
Practice address
71 W 156TH ST STE 305, HARVEY, IL 60426-4264
(708) 331-2200
Mailing address
71 W 156TH ST STE 305, HARVEY, IL 60426-4264
(708) 331-2200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
264258
MA
207RC0000X
Cardiovascular Disease Physician
036.145936
IL
207RI0011X
Interventional Cardiology Physician
Primary
036145936
IL
208M00000X
Hospitalist Physician
036145936
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036.145936
STATE LICENSE
IL
Enumeration date
06/12/2015
Last updated
12/17/2024
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