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Joseph Devito, MD
Student in an Organized Health Care Education/Training Program in Peoria, Illinois
NPI 1063919850

Joseph Devito is a Student in an Organized Health Care Education/Training Program based in Loves Park, IL. Joseph Devito practices in Peoria, IL and has the professional credentials of MD. The NPI Number for Joseph Devito is 1063919850 and holds a License No. (Illinois).

The current practice location address for Joseph Devito is 530 Ne Glen Oak Ave Bldg Room2620, Peoria, IL and can be reached out via phone at 309-655-6710.

Location: 530 Ne Glen Oak Ave Bldg Room2620, Peoria, IL, 61111
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063919850
Provider Name
Joseph Devito
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
530 Ne Glen Oak Ave Bldg Room2620, Peoria, IL, 61111
Phone Number
309-655-6710
Fax Number
Provider Enumeration Date
04/09/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
530 Ne Glen Oak Ave Bldg Room2620
City
Peoria
State
Illinois
Zip
61637-0001
Phone Number
309-655-6710
Fax Number
person
Provider Business Mailing Address Details
Address
530 Ne Glen Oak Ave Bldg Room2620
City
Peoria
State
Illinois
Zip
61637-0001
Phone Number
309-655-6710
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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