Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RICHARD A DISANTO, PA-C
ActiveRICHARD A DISANTO, PA-C is a Medical Physician Assistant healthcare provider located in LA GRANGE, Illinois. NPI 1235290883 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · LA GRANGE, IL
Registration Details
- NPI Number
- 1235290883
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 13, 2006 (19.706670886383 yrs)
- Last Updated
- Feb 25, 2013
- Licenses
-
1046964 (IL)085001519 (IL)
Practice Information
- Address
-
5201 WILLOW SPRINGS RDLA GRANGE, IL, 605256537Browse IL providers · Browse ZIP 60525
- Phone
- 7085790018
- Fax
- 7085797571
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
- Additional Specialty
- Medical Physician Assistant
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.