Devaney, Elizabeth J.

Devaney, Elizabeth J. is an sole proprietor health care provider with primary practice located at 7005 Johnsburg Rd , Spring Grove IL 60081-9365. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Devaney, Elizabeth J. can be contacted via phone (815) 675-6622.

Contact Information

Primary practice address
7005 Johnsburg Rd Spring Grove IL 60081-9365
Phone: (815) 675-6622
Fax: (815) 675-0044
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 32277 Wisconsin
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X Illinois

Profile Details

NPI number 1124242243
LBN Legal business name Devaney, Elizabeth J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 12th, 2007
Last updated Jul 8th, 2007 - about 17 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 1124242243 NPPES
Wisconsin MEDICAID 31749600

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