Individual
MARYANN DELEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
777 PARK AVE W, HIGHLAND PARK, IL 60035-2433
(847) 480-2833
(847) 480-2675
Mailing address
777 PARK AVE W, HIGHLAND PARK, IL 60035-2433
(847) 480-2833
(847) 480-2675
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036098323
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036098323
IL STATE LIC
IL
Enumeration date
10/19/2006
Last updated
03/31/2021
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