Individual
DR. ELIA MARIA DISAVINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
JOHN H. STROGER, JR. HOSPITAL OF COOK COUNTY, 1901 W. HARRISON ST., CHICAGO, IL 60612-3714
(312) 864-6000
Mailing address
354 FOREST RD, HINSDALE, IL 60521-3718
(630) 321-9951
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
036-106631
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26294
PROVIDER ID OR MRAN#
IL
Enumeration date
09/20/2006
Last updated
04/22/2021
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