Devaney, John J
Devaney, John J is an individual health care provider with primary practice located at 543 Orchard St , Antioch IL 60002-3107. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Devaney, John J can be contacted via phone (847) 395-3322.Contact Information
Primary practice address
543 Orchard St
Antioch IL 60002-3107
Phone: (847) 395-3322
Fax: (847) 395-0921
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036098296 | Illinois |
Profile Details
| NPI number | 1538152327 |
|---|---|
| LBN Legal business name | Devaney, John J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 26th, 2005 |
| Last updated | Dec 10th, 2021 - about 3 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 | 1538152327 | NPPES |
| Illinois | MEDICAID | 0360982962 |
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