De Venecia, Bryce T

De Venecia, Bryce T is an individual health care provider with primary practice located at 520 S Maple Ave , Oak Park IL 60304-1022. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. De Venecia, Bryce T can be contacted via phone (317) 942-7100.

Contact Information

Primary practice address
520 S Maple Ave Oak Park IL 60304-1022
Phone: (317) 942-7100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 01086990A Indiana
Allopathic & Osteopathic Physicians / Addiction Medicine 2084A0401X 036.164934 Illinois
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036164934 Illinois

Profile Details

NPI number 1568091924
LBN Legal business name De Venecia, Bryce T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2020
Last updated Jun 25th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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