MEDICARE: DENISE SOUSA MD

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
1	207V00000X	Obstetrics & Gynecology Physician	4301106037	MI
2	207V00000X	Obstetrics & Gynecology Physician	036144699	IL

General Provider Information

NPI Number	:	1851709455
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DENISE SOUSA MD

Provider Business Mailing Address
First Line	:	25 N WINFIELD RD
Second Line	:
City	:	WINFIELD
State	:	IL
Zip	:	60190-1379
Country	:	US
Telephone Number	:	630-653-4240
Fax Number	:	630-315-6597

Provider Business Practice Location Address
First Line	:	25 N WINFIELD RD
Second Line	:
City	:	WINFIELD
State	:	IL
Zip	:	60190-1379
Country	:	US
Telephone Number	:	630-653-4240
Fax Number	:	630-315-6597

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/27/2014
Last Update Date	:	04/06/2026

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Directions to “ DENISE SOUSA MD” Practice Location

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