Dea, Mary P
Dea, Mary P is an individual health care provider with primary practice located at 1804 N Naper Blvd Ste 103, Naperville IL 60563-8830. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Dea, Mary P can be contacted via phone (630) 646-6200.Contact Information
Primary practice address
1804 N Naper Blvd Ste 103
Naperville IL 60563-8830
Phone: (630) 646-6200
Fax: (630) 428-4188
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036095029 | Illinois |
Profile Details
| NPI number | 1518951474 |
|---|---|
| LBN Legal business name | Dea, Mary P |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 7th, 2005 |
| Last updated | Oct 17th, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518951474 | NPPES |
| Illinois | MEDICAID | 036095029 |
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