Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ELSY A DEVASSY, M.D.
Active Sole ProprietorDR. ELSY A DEVASSY, M.D. is a Specialist healthcare provider located in LOCKPORT, Illinois. NPI 1417950783 is currently active in the NPPES registry. Verify at CMS.
Specialist · LOCKPORT, IL
Registration Details
- NPI Number
- 1417950783
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 31, 2005 (21.062058001936 yrs)
- Last Updated
- Jan 22, 2014
- License
-
036063297 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
16612 W 159TH STSUITE 204LOCKPORT, IL, 604418006Browse IL providers · Browse ZIP 60441
- Phone
- 8155883900
- Fax
- 8155881414
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in LOCKPORT, IL
| Name | Credential | NPI |
|---|---|---|
| MR. JOHN L BAKOURIS | ATC, CSCS | 1053383562 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.