Michael Deavens

NPI #1023685203 in Chicago, Illinois

Provider Information

NPI Number: 1023685203
Entity Type: Individual
Name: Michael Deavens
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Home Health Aide
Enumeration Date: Jun 7, 2021
Last Updated: Jun 7, 2021

Practice Location

Address: 9751 S CHARLES ST APT 1F
City: Chicago
State: Illinois
ZIP Code: 60643-1250
Phone: (618) 353-4277

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health Aide	374U00000X	Primary

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