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NPI Code Detail

MEDICARE: DENNIS DE BIASE

MEDICARE: DENNIS DE BIASE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1246ZC0007XSurgical Assistant238000694IL

General Provider Information

NPI Number : 1528914975
Entity Type Code : Individual
Provider Name (Legal Business Name) : DENNIS DE BIASE
Provider Business Mailing Address
First Line : 1464 S MICHIGAN AVE APT 502
Second Line :
City : CHICAGO
State : IL
Zip : 60605-3651
Country : US
Telephone Number : 773-558-8780
Fax Number :
Provider Business Practice Location Address
First Line : 850 W IRVING PARK RD
Second Line :
City : CHICAGO
State : IL
Zip : 60613-3077
Country : US
Telephone Number : 773-525-6780
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2026
Last Update Date : 03/09/2026

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Directions to “ DENNIS DE BIASE ” Practice Location

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