DEIRDRE HART

SHILOH, IL
NPI1033408489
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208C00000X Colon & Rectal Surgery
(Licence: IL  036.145842)
Additional Taxonomies208600000X Surgery
(Licence: FL  ME 127352)
208600000X Surgery
(Licence: MO  2011018402)
390200000X Student in an Organized Health Care Education/Training Program
(Licence: FL  ME127352)
390200000X Student in an Organized Health Care Education/Training Program
(Licence: GA  77655)
Enumeration Date2011-04-06
Last Update Date2022-07-21
Business Address
DEIRDRE HART MD
1414 CROSS ST STE 330
SHILOH, IL 62269
Phone number: 618-277-7400
Mailing Address
DEIRDRE HART MD
1414 CROSS ST STE 330
SHILOH, IL 62269-2988
Phone number: 618-277-7400