Individual
DR. JOSEPH C DEARIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1850 GATEWAY DR, SYCAMORE, IL 60178-3192
(815) 217-3252
(815) 758-5348
Mailing address
5665 NEW NORTHSIDE DR NW, SUITE 320, ATLANTA, GA 30328-5831
(770) 874-5400
(770) 874-5469
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036089746
IL
207P00000X
Emergency Medicine Physician
056700
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
476932038A
—
GA
05
—
476932038B
—
GA
05
—
476932038C
—
GA
05
—
476932038D
—
GA
Enumeration date
08/18/2006
Last updated
02/23/2022
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