DR. Raymond P Dipasquo, D.O.

NPI #1912950916 in Homer Glen, Illinois

Provider Information

NPI Number: 1912950916
Entity Type: Individual
Name: DR. Raymond P Dipasquo, D.O.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: D.O.
Enumeration Date: May 19, 2006
Last Updated: May 18, 2012

Practice Location

Address: 12701 W 143RD ST
Address 2: SUITE 250
City: Homer Glen
State: Illinois
ZIP Code: 60491-7715
Phone: (708) 301-1400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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