Individual
DEANNA MICHELE MAASARANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1611 W HARRISON ST, CHICAGO, IL 60612-4861
(312) 432-2598
Mailing address
1611 W HARRISON ST STE 400, CHICAGO, IL 60612-4861
(877) 632-6637
(708) 409-5179
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.011080
IL
Other
Enumeration date
01/17/2025
Last updated
05/02/2025
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