Individual
EILEEN C. DEANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11 REBA CT, MORTON GROVE, IL 60053-3342
(847) 722-1251
Mailing address
11 REBA CT, MORTON GROVE, IL 60053-3342
(847) 722-1251
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
63105-20
WI
2080N0001X
Neonatal-Perinatal Medicine Physician
63105-20
WI
Other
Enumeration date
08/04/2008
Last updated
12/12/2019
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