Individual
DR. MARY ANN DECOTEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3001 GREEN BAY RD, NORTH CHICAGO, IL 60064-3048
(215) 662-7320
Mailing address
3001 GREEN BAY RD, NORTH CHICAGO, IL 60064-3048
(619) 249-3384
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD476305
PA
208600000X
Surgery Physician
ME147113
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/20/2012
Last updated
05/12/2025
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