Organization Name: | DR. PATRICK DICILLO, S.C. |
NPI Number: | 1164513107 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DENISE GORECKI (MANAGER) |
Mailing Address: | 371 W. Northwest Highway Palatine |
State: | IL US |
Postal Code: | 60067 |
Phone Number: | 8477767800 |
Fax Number: | 8477767623 |
NPI Enumeration Date: | 09/27/2006 |
NPI Last Update Date: | 08/08/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | 042617914 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |