John R Deforest DO SC
John R Deforest DO SC is a Family Medicine Physician in Beecher, Illinois. Licensed in Illinois. Registered with an NPI since 2006.
- Licensed in
- IL
- In the registry since
- 2006
Practice location Address checks out
715 S Dixie HwyBeecher, IL 60401-3668
Phone: (708) 946-9330
Fax: (708) 946-2471
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Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 336051704 (IL) |
|---|
Record details
| NPI number | 1144241407 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Karen Ruckman — Acct Rep. · (708) 946-3990 |
| NPI enumerated | July 22, 2006 |
| Last updated in NPPES | December 10, 2014 |
| Mailing address | 715 S Dixie Hwy, Beecher, IL 60401-3668 |
Other providers in Beecher
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John Deforest, DO
715 S Dixie Hwy, Beecher, IL 60401-3668 · (708) 946-9330