Organization
DR EUNICE M. DEANE DC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EUNICE M DEANE DC (PRESIDENT)
(773) 631-5001
Entity
Organization
Contact information
Practice address
5951 N ELSTON AVE, CHICAGO, IL 60646-5504
(773) 631-5001
(773) 631-5007
Mailing address
5951 N ELSTON AVE, CHICAGO, IL 60646-5504
(773) 631-5001
(773) 631-5007
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-008469
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016-22939
BCBS OF IL
IL
Enumeration date
05/18/2007
Last updated
06/21/2018
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