Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHAEL DON DESTEFANO, M.D.
Active Sole ProprietorMICHAEL DON DESTEFANO, M.D. is a Pediatrics healthcare provider located in WORTH, Illinois. NPI 1588796320 is currently active in the NPPES registry. Verify at CMS.
Pediatrics · WORTH, IL
Registration Details
- NPI Number
- 1588796320
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 9, 2007 (19.400225528409 yrs)
- Last Updated
- Jul 8, 2007
- Sole Proprietor
- Yes
Practice Information
- Address
-
7000 W 111TH STWORTH, IL, 604821851Browse IL providers · Browse ZIP 60482
- Phone
- 7083610100
- Fax
- 7083612742
- Primary Specialty
-
Pediatrics
208000000X
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.