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Individual

DEANE S CHARBA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
036114401
IL
207RN0300X
Nephrology Physician
Primary
K6961
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1616108
BCBS
IL
05
33326800
WI
01
P00605021
RAILROAD MEDICARE
IL
Enumeration date
05/12/2006
Last updated
11/26/2024
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