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Deanna List
NPI 1790157873 · on the registry since 2015
Practice
- Address
- 558 W 35th St
Chicago, IL 60616 - Phone
- (773) 451-0200
- Fax
- (773) 451-0700
- Clinicians at this address
- 8
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-10-28
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