Search › Illinois › 1041C0700X
Bryan Deutsch
NPI 1114215084 · on the registry since 2011
Practice
- Address
- 610 E John St
Champaign, IL 61820 - Phone
- (217) 333-3704
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 104100000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-03-11
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