Organization
DR. MARY DEHERRERA-CODO MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY DEHERRERA-CODO MD (OWNER)
(630) 848-1332
Entity
Organization
Contact information
Practice address
720 BROM CT, SUIT 204, NAPERVILLE, IL 60540-6531
(630) 848-1332
(630) 838-1344
Mailing address
720 BROM CT, SUIT 204, NAPERVILLE, IL 60540-6531
(630) 848-1332
(630) 838-1344
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
03-6082140
IL
Other
Enumeration date
02/22/2012
Last updated
02/22/2012
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