Individual
EUNICE M DEANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
5951 N ELSTON AVE, CHICAGO, IL 60646-5504
(773) 631-5001
(773) 631-5007
Mailing address
5951 N ELSTON AVE, CHICAGO, IL 60646-5504
(773) 631-5001
(773) 631-5007
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-008469
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016-22939
BCBS OF IL
IL
Enumeration date
07/17/2006
Last updated
04/18/2017
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