Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 036079564 | IL |
N | 111NI0900X | Internist | 036079564 | IL |
Y | 207RH0002X | Hospice and Palliative Medicine | 036079564 | IL |
NPI | 1356370837 |
---|---|
Provider Name | Catherine D. Deamant |
First Address | Glenview, IL 60025-7635 |
Second Address | Glenview, IL 60025-7635 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2006 |
Last Update Date | 22/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G76113 | (02) | IL |