Provider Demographics
NPI:1023513025
Name:NAVARRETE, DEYGER (MD)
Entity type:Individual
Prefix:
First Name:DEYGER
Middle Name:
Last Name:NAVARRETE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4445 W IRVING PARK RD STE 320
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60641-2808
Mailing Address - Country:US
Mailing Address - Phone:312-695-7970
Mailing Address - Fax:312-921-0400
Practice Address - Street 1:4445 W IRVING PARK RD STE 320
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60641-2808
Practice Address - Country:US
Practice Address - Phone:312-695-7970
Practice Address - Fax:312-921-0400
Is Sole Proprietor?:No
Enumeration Date:2018-03-29
Last Update Date:2024-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036155519207R00000X, 208M00000X, 207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist