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Individual

SEAN DELACEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
225 E CHICAGO AVE, CHICAGO, IL 60611-2991
(312) 227-6090
Mailing address
225 E CHICAGO AVE RM 5867, CHICAGO, IL 60611-2991
(312) 227-6090

Taxonomy

Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
036148938
IL
390200000X
Student in an Organized Health Care Education/Training Program
036148938
IL

Other

Enumeration date
04/17/2015
Last updated
05/17/2022
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