SearchIllinois207R00000X

Luis Devenecia, MD

NPI 1750495792 · on the registry since 2006

Practice

Address
1120 N East St
Olney, IL 62450
Phone
(618) 395-5222
Fax
(618) 395-8552
Organisation at this address
Southern Illinois Healthcare Foundation, Inc.
Southern Illinois Healthcare Foundation, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
7

Registry record

Primary taxonomy
207R00000X
207R00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-08-29

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