Individual
MICHAEL DEEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
700 N MAIN ST, CROWN POINT, IN 46307-3236
(219) 663-2576
Mailing address
1347 W FILLMORE ST APT 3, CHICAGO, IL 60607-4924
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019035133
IL
122300000X
Dentist
Primary
12014467A
IN
Other
Enumeration date
06/11/2024
Last updated
03/22/2025
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