DR. Elsy A Devassy, M.D.

NPI #1417950783 in Lockport, Illinois

Provider Information

NPI Number: 1417950783
Entity Type: Individual
Name: DR. Elsy A Devassy, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: M.D.
Enumeration Date: May 31, 2005
Last Updated: Jan 22, 2014

Practice Location

Address: 16612 W 159TH ST
Address 2: SUITE 204
City: Lockport
State: Illinois
ZIP Code: 60441-8006
Phone: (815) 588-3900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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