Individual
DR. DEBORAH M FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
30 UNO CIR, JOLIET, IL 60435-6632
(815) 773-0766
(815) 773-0764
Mailing address
30 UNO CIR, JOLIET, IL 60435-6632
(815) 773-0766
(815) 773-0764
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036055504
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0009926176
BCBS
IL
05
—
036055504
—
IL
01
—
14D0974334
CLIA
IL
Enumeration date
01/12/2007
Last updated
07/08/2007
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