| Dr. Mary Deherrera-codo Md Pc | |
|
720 Brom Ct Suit 204 Naperville IL 60540-6531 | |
| (630) 848-1332 | |
| (630) 838-1344 |
| Full Name | Dr. Mary Deherrera-codo Md Pc |
|---|---|
| Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
| Location | 720 Brom Ct, Naperville, Illinois |
| Authorized Official Name and Position | Mary Deherrera-codo (OWNER) |
| Authorized Official Contact | 6308481332 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Mary Deherrera-codo Md Pc 720 Brom Ct Suit 204 Naperville IL 60540-6531 Ph: (630) 848-1332 | Dr. Mary Deherrera-codo Md Pc 720 Brom Ct Suit 204 Naperville IL 60540-6531 Ph: (630) 848-1332 |
| NPI Number | 1780957654 |
|---|---|
| Provider Enumeration Date | 02/22/2012 |
| Last Update Date | 02/22/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780957654 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 03-6082140 (Illinois) | Primary |
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