DEANA L DY M.D.

Allergy and Immunology

Crystal Lake, Illinois

Provider NPI: 1518950781

Provider Information:
 DEANA L DY M.D.


Practice Location:
25 S VIRGINIA ST SUITE 203 CRYSTAL LAKE, IL 60014 US
Tel: 815-459-5440  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

Primary	Code	Category/Description	State	License Number
Y	207K00000X	Physicians Allergy & Immunology	IL	036-057986

Other Provider Identifiers:

Issuer	Number	State	Type
BCBS	BCBS4901048	IL	01

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin

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