Individual
LIA DEROIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
UNIVERSITY OF ILLINOIS MEDICAL CENTER, DEPT OF GME, 820 S WOOD ST, MC 675, CHICAGO, IL 60612
(312) 996-2933
Mailing address
GRADUATE MEDICAL EDUCATION OFFICE, 820 S. WOOD ST., STE. 100, CHICAGO, IL 60612
(312) 996-2933
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/15/2022
Last updated
04/15/2022
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