Search › Illinois › 208M00000X
Sean Deangelo
NPI 1992328769 · on the registry since 2020 · sole proprietor
Practice
- Address
- 2160 S 1st Ave
Maywood, IL 60153 - Phone
- (708) 216-9000
- Organisation at this address
- Walgreen Co
Walgreen Co
Rosin Optical Co., Inc.
Proviso Partners For Health
Loyola University Health SystemInferred from a shared address, not stated in the registry. - Clinicians at this address
- 2,186
Additional practice sites
- 4000 Presidential Blvd Apt 1111, Philadelphia, PA
Registry record
- Primary taxonomy
- 208M00000X
208M00000X
- Also registered as
- 390200000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-05-07
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