Danielle Renee Detterman Rice M.D.

NPI 1184942013 - Psychiatry & Neurology - 2084N0400X

NPI Details
NPI 1184942013
Gender Female
Enumeration Date 05/17/2010
Last Updated 08/02/2015
Entity Type Individual
Active Over 7 years ago
Practice Location
2160 S 1ST AVE
MAYWOOD IL, 60153-3328, US
Phone (708) 216-4702
Fax
Business Location
2160 S 1ST AVE
MAYWOOD IL, 60153-3328, US
Phone
Fax
Toxanomy
Taxonomy Code 2084N0400X
License State Illinois
License Number 125:057372
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According to our database, Dr. Danielle Renee Detterman Rice M.D. NPI is 1184942013, taxonomy code is 2084N0400X and license number is 125:057372, license state is located at Illinois. Danielle Renee Detterman Rice M.D. physically located at 2160 S 1st Ave, Maywood IL, 60153-3328. NPI Number Danielle Renee Detterman Rice M.D. has the Individual type.

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1184942013 NPI number is provided on an as is basis without warranty of any kind. 1184942013 is maintained by the National Plan & Provider Enumeration System. The contents of Danielle Renee Detterman Rice M.D. are for informational purposes only.