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Contact Information

BRYCE T DE VENECIA, MD
520 S MAPLE AVE
OAK PARK, IL60304-1022
 Phone: 317-942-7100
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Addiction Medicine

2084A0401X 79 Physician/Addiction Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for BRYCE T DE VENECIA · (Male)

NPI # 1568091924
Status Active
Credentials MD
Entity Individual
Enumeration date 04/06/2020
Last updated 06/25/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • IL License # 036.164934
  • IL License # 036164934
  • IN License # 01086990A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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