Deidra R. Fontana
Deidra R. Fontana is a Nurse Practitioner in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2006.
- Licensed in
- IL
- In the registry since
- 2006
Practice location Address checks out
1740 W Taylor StChicago, IL 60612-7232
Phone: (866) 600-2273
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nurse Practitioner (primary) | Taxonomy 363L00000X (IL) |
|---|
Record details
| NPI number | 1760596282 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | August 19, 2006 |
| Last updated in NPPES | July 8, 2007 |
| Mailing address | 809 S Marshfield Ave, 9th Floor (M/C 732), Chicago, IL 60612-4305 |
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