Individual
DR. LUIS C DEVENECIA JR.
Active
Individual
DR. LUIS C DEVENECIA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036091236
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036091236
—
IL
01
—
063073
HEALTH ALLIANCE
IL
01
—
296286
HEALTH LINK
IL
Enumeration date
08/18/2006
Last updated
08/29/2024
Update your record
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