Richard A Disanto in La Grange - Physician Assistant
Richard A Disanto - NPI 1235290883
Richard A Disanto is a Physician Assistant in La Grange, Illinois. Richard A Disanto practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Richard A Disanto is 1235290883. The last update date is 2013-02-25.
Richard A Disanto's current location address is 5201 Willow Springs Rd, La Grange, Illinois. You can contact this provider via phone number 7085790018 and fax number 7085797571. The mailing address for Richard A Disanto is 5201 Willow Springs Rd, La Grange, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard A Disanto |
|---|---|
| Address | 5201 Willow Springs Rd, La Grange, Illinois |
| Phone Number | 7085790018 |
| Fax Number | 7085797571 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1235290883 |
|---|---|
| Provider Enumeration Date | 2006-12-13 |
| Last Updated Date | 2013-02-25 |
Provider Mailing Address Detail
| Address | 5201 Willow Springs Rd |
|---|---|
| City | La Grange |
| State | Illinois (IL) |
| Post Code | 60525 |
| Phone Number | 7085790018 |
| Fax Number | 7085797571 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 1046964 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1046964 | NCCPA |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Richard A Disanto by the Centers for Medicare & Medicaid Services?
The Richard A Disanto has been issued the NPI (National Provider Identifier) 1235290883, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Richard A Disanto's physical address?
The Richard A Disanto is physically located at 5201 Willow Springs Rd, in the city of La Grange, IL, with the postal code 60525.
What is Richard A Disanto's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Richard A Disanto is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.
When did the Richard A Disanto receive its 1235290883?
The Richard A Disanto was issued its 1235290883 on 2006-12-13, which is the date when the organization was assigned this unique identifier.
As of what date were the Richard A Disanto's details last updated?
The information pertaining to the Richard A Disanto, including its address, specialty, and other details, was most recently updated on 2013-02-25.
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