Search › Illinois › 122300000X
Donald Provenzale, DDS
NPI 1538392329 · on the registry since 2009
Practice
- Address
- 4336 Saratoga Ave
Downers Grove, IL 60515 - Phone
- (630) 969-7711
- Fax
- (630) 969-7723
- Organisation at this address
- D J Provenzale & D J Provenzale Jr
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-08-27
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