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John Deforest

Family Doctor

715 S Dixie Hwy
Beecher , Illinois 60401-3668

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Image

John Deforest

Family Doctor

715 S Dixie Hwy
Beecher , Illinois 60401-3668

(708) 946-2471

Write a Review Save Call

John Deforest

Family Doctor

715 S Dixie Hwy
Beecher , Illinois 60401-3668

(708) 946-2471 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Family Doctor

Languages spoken

  • English

Location

715 S Dixie Hwy Beecher , Illinois 60401-3668

First Address

  • John Deforest
  • 715 S Dixie Hwy
  • Beecher, IL
  • Zip : 60401-3668
  • Fax : (708) 946-2471
  • Phone : (708) 946-9330

Second Address

  • John Deforest
  • 715 S Dixie Hwy
  • Beecher, IL
  • Zip : 60401-3668
  • Fax : (708) 946-2471
  • Phone : (708) 946-9330

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FAQs


Where did John Deforest attend graduate school?

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Where did John Deforest do his residency?

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Where did John Deforest do his fellowship?

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Is John Deforest board certified?

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What type of doctor is John Deforest

Family Doctor

In what state does John Deforest practice in?

Illinois

Where is John Deforest ’s practice located?

715 S Dixie Hwy , Beecher, Illinois, 60401-3668

What is John Deforest ’s gender?

Male

Is John Deforest a sole practitioner?

No

Is John Deforest accepting new patients?

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What languages does John Deforest speak?

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Does John Deforest accept insurance?

Yes, John Deforest accepts insurance

Does John Deforest offers telemedicine?

John Deforest has not indicated if he offers telemedicine

What is John Deforest ’s professional license number?

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What is John Deforest ’s NPI number?

1003842964

Does John Deforest have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 207Q00000X Family Doctor 336051704 IL

National Provider Identifier

NPI 1003842964
Provider Name John Deforest
First Address Beecher, IL 60401-3668
Second Address Beecher, IL 60401-3668
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 23/06/2006
Last Update Date 09/12/2014

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
036089998 (05) IL
080154175 RAILROAD MEDICARE (01)
9925692 BC/BS (01) IL
G12826 (02) IL

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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