Individual
SAMMY T DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
901 GRANT ST, HARVARD, IL 60033-1821
(815) 943-8090
(815) 943-2188
Mailing address
901 GRANT ST, HARVARD, IL 60033-1821
(815) 943-8090
(815) 943-2188
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
036123329
IL
207L00000X
Anesthesiology Physician
54353-020
WI
207L00000X
Anesthesiology Physician
Primary
75855
CT
207LP2900X
Pain Medicine (Anesthesiology) Physician
036123329
IL
207LP2900X
Pain Medicine (Anesthesiology) Physician
68136
AZ
207LP2900X
Pain Medicine (Anesthesiology) Physician
Q2657
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1871827147
—
WI
Enumeration date
09/18/2009
Last updated
09/26/2024
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