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Domenic Divito
NPI 1457409500 · on the registry since 2007 · sole proprietor
Practice
- Address
- 17 N Northwest Hwy
Park Ridge, IL 60068 - Phone
- (847) 823-2255
Registry record
- Primary taxonomy
- 156FX1800X
156FX1800X
- 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