Michael Don Destefano, M.D.

NPI #1588796320 in Worth, Illinois

Provider Information

NPI Number: 1588796320
Entity Type: Individual
Name: Michael Don Destefano, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pediatrics
Credential: M.D.
Enumeration Date: Mar 9, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 7000 W 111TH ST
City: Worth
State: Illinois
ZIP Code: 60482-1851
Phone: (708) 361-0100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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Organizations

Provider Name	Specialty	City
Michael Destefano M.d. S.c.	Pediatrics	Worth	AI Deep Dive

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