Diamond Donald Dettore in La Grange - Family Medicine
Diamond Donald Dettore - NPI 1285646588
Diamond Donald Dettore is a Family Medicine in La Grange, Illinois. Diamond Donald Dettore practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Diamond Donald Dettore is 1285646588. The last update date is 2018-10-08.
Diamond Donald Dettore's current location address is 4705 Willow Springs Rd Ste 203, La Grange, Illinois. You can contact this provider via phone number 7087951520 and fax number 7087951543. The mailing address for Diamond Donald Dettore is 4705 Willow Springs Rd Ste 203, La Grange, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Diamond Donald Dettore |
|---|---|
| Address | 4705 Willow Springs Rd Ste 203, La Grange, Illinois |
| Phone Number | 7087951520 |
| Fax Number | 7087951543 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1285646588 |
|---|---|
| Provider Enumeration Date | 2006-08-13 |
| Last Updated Date | 2018-10-08 |
Provider Mailing Address Detail
| Address | 4705 Willow Springs Rd Ste 203 |
|---|---|
| City | La Grange |
| State | Illinois (IL) |
| Post Code | 605256150 |
| Phone Number | 7087951520 |
| Fax Number | 7087951543 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 36039227 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 21608845 | IL | BCBS |
Post Comment/ Review Below
What is the unique identifier code issued to Diamond Donald Dettore by the Centers for Medicare & Medicaid Services?
The Diamond Donald Dettore has been assigned the NPI (National Provider Identifier) 1285646588. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Diamond Donald Dettore is physically located?
The Diamond Donald Dettore is physically situated at the following address: 4705 Willow Springs Rd Ste 203, La Grange, IL, 605256150.
What is Diamond Donald Dettore's area of expertise and its corresponding taxonomy classification?
The Diamond Donald Dettore's field of specialization is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Diamond Donald Dettore receive its 1285646588 assignment from the Centers for Medicare & Medicaid Services?
The Diamond Donald Dettore was assigned its 1285646588 by the Centers for Medicare & Medicaid Services on 2006-08-13.
As of what date were the details related to Diamond Donald Dettore most recently updated or revised?
The information pertaining to Diamond Donald Dettore, including its address, specialty, and other relevant details, was last updated or revised on 2018-10-08.
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