Individual
MAYA VALLABHANENI DEFOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
251 E HURON ST, FEINBERG 16-738, CHICAGO, IL 60611-2908
(312) 926-5924
(312) 926-6134
Mailing address
251 E HURON ST, FEINBERG 16-738, CHICAGO, IL 60611-2908
(312) 926-5924
(312) 926-6134
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
036.137189
IL
Other
Enumeration date
04/10/2012
Last updated
12/12/2015
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