NPI 1023685203

Michael Deavens

Practitioner Home Health Aide Chicago, IL

Practice location

Address: 9751 S Charles St APT 1f, Chicago, IL 60643-1250
Phone: (618) 353-4277

Registered specialties

Home Health Aide Primary

Nursing Service Related Providers Taxonomy 374U00000X

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Registry record

NPI: 1023685203
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Jun 2021
Record last updated: 7 Jun 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.