Individual
DR. DAVID W DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
210 W WALNUT ST, CANTON, IL 61520-2497
(309) 647-5240
(309) 649-5128
Mailing address
210 W WALNUT ST, CANTON, IL 61520-2497
(309) 647-5240
(309) 649-5128
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036-128312
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0361283121
—
IL
05
—
0361283122
—
IL
01
—
P00960789
RRMCARE THRU CES
IL
01
—
P00984806
RRMCARE THRU GES
IL
Enumeration date
07/10/2008
Last updated
02/16/2021
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