Individual
DEBORAH L BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4201 W MEDICAL CENTER DR, MCHENRY, IL 60050
(815) 344-5000
Mailing address
4201 W MEDICAL CENTER DR, MCHENRY, IL 60050-8409
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.004746
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085004746
STATE LICENSE
IL
Enumeration date
08/06/2013
Last updated
05/14/2018
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