Theodore E Dastych, M.D.

NPI #1205084431 in Joliet, Illinois

Provider Information

NPI Number: 1205084431
Entity Type: Individual
Name: Theodore E Dastych, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Internal Medicine
Credential: M.D.
Enumeration Date: Aug 29, 2008
Last Updated: Aug 29, 2008

Practice Location

Address: 3237 OAKWOOD DR
City: Joliet
State: Illinois
ZIP Code: 60431-4841
Phone: (815) 741-1126

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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