Individual
DR. DIETRA DELAPLANE MILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2650 RIDGE AVE, WALGREEN 1505, EVANSTON, IL 60201-1718
(847) 570-2033
(847) 570-0231
Mailing address
2650 RIDGE AVE, WALGREEN 1505, EVANSTON, IL 60201-1718
(847) 570-2033
(847) 570-0231
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
036057096
IL
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
036057096
IL
Other
Enumeration date
10/19/2006
Last updated
07/21/2020
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