DEIDRA R. FONTANA

CHICAGO, IL
NPI1760596282
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IL  209004723)
Enumeration Date2006-08-19
Last Update Date2007-07-08
Business Address
-- DEIDRA R. FONTANA
1740 W TAYLOR ST
CHICAGO, IL 60612-7232
Phone number: 866-600-2273
Mailing Address
-- DEIDRA R. FONTANA
809 S MARSHFIELD AVE 9TH FLOOR (M/C 732)
CHICAGO, IL 60612-4305
Phone number: 312-996-7699
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