Deleon, Maryann

Deleon, Maryann is an individual health care provider with primary practice located at 777 Park Ave W , Highland Park IL 60035-2433. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Deleon, Maryann can be contacted via phone (847) 480-2833.

Contact Information

Primary practice address
777 Park Ave W Highland Park IL 60035-2433
Fax: (847) 480-2675
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036098323 Illinois

Profile Details

NPI number 1982786091
LBN Legal business name Deleon, Maryann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2006
Last updated Mar 31st, 2021 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1982786091 NPPES
Illinois Other 036098323 IL STATE LIC

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