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Dr. Michael Carey Defazio, DDS
Student in an Organized Health Care Education/Training Program in North Chicago, Illinois
NPI 1497189476

Michael Carey Defazio is a Student in an Organized Health Care Education/Training Program based in North Chicago, IL. Michael Carey Defazio practices in North Chicago, IL and has the professional credentials of DDS. The NPI Number for Michael Carey Defazio is 1497189476 and holds a License No. (Illinois).

The current practice location address for Michael Carey Defazio is 3001 Green Bay Rd, North Chicago, IL and can be reached out via phone at 847-688-3331.

Location: 3001 Green Bay Rd, North Chicago, IL, 60064-3048
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497189476
Provider Name
Michael Carey Defazio
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
3001 Green Bay Rd, North Chicago, IL, 60064-3048
Phone Number
847-688-3331
Fax Number
Provider Enumeration Date
08/27/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3001 Green Bay Rd
City
North Chicago
State
Illinois
Zip
60064-3048
Phone Number
847-688-3331
Fax Number
person
Provider Business Mailing Address Details
Address
3001 Green Bay Rd
City
North Chicago
State
Illinois
Zip
60064-3048
Phone Number
847-688-3331
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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