SearchIllinois374U00000X

Michael Deavens

NPI 1023685203 · on the registry since 2021

Practice

Address
9751 S Charles St Apt 1f
Chicago, IL 60643
Phone
(618) 353-4277

Registry record

Primary taxonomy
374U00000X
374U00000X
Sex
Male
Record last updated
2021-06-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois