Thomas Destefani
MD | Pediatrics | Male
Thomas Destefani, MD is a Glen Ellyn, Illinois based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Thomas Destefani is
885 Roosevelt Rd, Glen Ellyn, Illinois - 60137-6141. He can be contacted on phone at
630-790-1555 and fax number 630-545-3787.
Thomas Destefani is a sole proprietor of his business.
NPI number (Unique professional ID) for Thomas Destefani is
1588638811 which was assigned by NPPES on 14 Feb, 2006 and it was last updated on 03 Apr, 2013.
Thomas Destefani license number is
36067872 for Pediatrics (208000000X) in Illinois.
Thomas Destefani is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Thomas Destefani basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Thomas Destefani |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Thomas Destefani address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 885 Roosevelt Rd
Glen Ellyn, IL, 60137-6141
United States |
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| Phone Number : | 630-790-1555 |
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| Fax Number : | 630-545-3787 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1588638811 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 14 Feb, 2006 |
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| Last Updated On : | 03 Apr, 2013 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Thomas Destefani are as mentioned. Primary taxonomy code for Thomas Destefani, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 36067872 | IL |
Legacy Identifiers:
Other legacy medical identifiers of Thomas Destefani such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 036067872 | MEDICAID | IL | |
| 487450 | Other | IL | MEDICARE PTAN (GROUP) |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 885 Roosevelt Rd
Glen Ellyn, IL, 60137-6141
United States |
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| Phone Number : | 630-790-1555 |
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| Fax Number : | 630-545-3787 |
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Business Location:
Patients can refer following map for directions to
Thomas Destefani practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.