Dr JOHN R DEFOREST DO is a male medical professional, specializing in Family Medicine. He graduated in 1992 from Chicago College Of Osteopathy.
715S DIXIE HWY
BEECHER
IL
604013668
Tel:
Npi | 1003842964 |
Pac Id | 9931112604 |
Professional Enrollment Id | I20060725000107 |
Last Name | DEFOREST |
First Name | JOHN |
Middle Name | R |
Suffix | |
Gender | M |
Credential | DO |
Medical School Name | CHICAGO COLLEGE OF OSTEOPATHY |
Graduation Year | 1992 |
Primary Specialty | FAMILY MEDICINE |
Secondary Specialty 1 | |
Secondary Specialty 2 | |
Secondary Specialty 3 | |
Secondary Specialty 4 | |
All Secondary Specialties | |
Organization Legal Name | |
Group Practice Pac Id | |
Number Of Group Practice Members | |
Line 1 Street Address | 715S DIXIE HWY |
Line 2 Street Address | |
Marker Of Address Line 2 Suppression | |
City | BEECHER |
State | IL |
Zip Code | 604013668 |
Phone Number | |
Hospital Affiliation Ccn 1 | 140172 |
Hospital Affiliation Lbn 1 | FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS |
Hospital Affiliation Ccn 2 | 150090 |
Hospital Affiliation Lbn 2 | FRANCISCAN HEALTH DYER |
Hospital Affiliation Ccn 3 | 140191 |
Hospital Affiliation Lbn 3 | INGALLS MEMORIAL HOSPITAL |
Hospital Affiliation Ccn 4 | 150125 |
Hospital Affiliation Lbn 4 | COMMUNITY HOSPITAL |
Hospital Affiliation Ccn 5 | |
Hospital Affiliation Lbn 5 | |
Professional Accepts Medicare Assignment | Y |
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