Deeken Draisey, Audrey

Deeken Draisey, Audrey is an sole proprietor health care provider with primary practice located at 303 E Chicago Ave # 3140W127 , Chicago IL 60611-4296. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is her primary health care specialty. Deeken Draisey, Audrey can be contacted via phone (312) 503-8144.

Contact Information

Primary practice address
303 E Chicago Ave # 3140W127 Chicago IL 60611-4296
Phone: (312) 503-8144
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 036144258 Illinois
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X X Illinois

Profile Details

NPI number 1710305560
LBN Legal business name Deeken Draisey, Audrey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 30th, 2014
Last updated Apr 16th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710305560 NPPES
Illinois MEDICAID 1710305560

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