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Richard Disanto, PA-C
NPI 1235290883 · on the registry since 2006
Practice
- Address
- 5201 Willow Springs Rd
La Grange, IL 60525 - Phone
- (708) 579-0018
- Fax
- (708) 579-7571
- Organisation at this address
- Adventist Health Partners, Inc
Adventist Health Partners, IncInferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 363AM0700X
363AM0700X
- Also registered as
- 363A00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-02-25
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