Whalio Doctors

NPI 1528056801

Jennifer Devaney, MD

Practitioner Pediatric Adolescent Medicine Physician Grayslake, IL

Practice location

Address
1170 E Belvidere Rd STE 106, Grayslake, IL 60030-2076
Phone
(847) 548-7337
Fax
(847) 548-9909
Mailing address
1170 E Belvidere Rd Mundelein Pediatrics #106, Grayslake, IL 60030-2061

Registered specialties

Pediatric Adolescent Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2080A0000X Licence 036101023 (IL)

Registry record

NPI
1528056801
Entity type
Individual
Sex (as registered)
Female
NPI issued
11 Oct 2005
Record last updated
30 Dec 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.