SearchIllinois152WV0400X

Michael Destefano, O.D

NPI 1649936188 · on the registry since 2021 · sole proprietor

Practice

Address
3250 N Arlington Heights Road Visual Symptoms Treatment
Suite 109
Arlington Heights, IL 60004
Phone
(847) 255-1040

Registry record

Primary taxonomy
152WV0400X
152WV0400X
Also registered as
152W00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-11-09

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