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Individual

SANDEEP DEVATA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
40 S CLAY ST STE 130, HINSDALE, IL 60521-3257
(630) 790-1700
Mailing address
1860 PAYSPHERE CIR, CHICAGO, IL 60674-0018
(630) 325-3310
(630) 469-9200

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036114874
IL
208600000X
Surgery Physician
A99254
CA

Other

Enumeration date
07/03/2007
Last updated
02/13/2020
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