Brian Degise, DDS, PC

NPI 1083708648 · on the registry since 2006 · sole proprietor

Practice

Address: 1318 W Candletree Dr
Peoria, IL 61614
Phone: (309) 691-9171
Fax: (309) 693-6471
Organisation at this address: Lights Prosthetic Eyes Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: 1223X0400X
1223X0400X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois