Individual
DR. DONALD M DEDONATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1630 W CENTRAL RD, ARLINGTON HTS, IL 60005-2407
(847) 394-3553
(847) 394-3574
Mailing address
1630 W CENTRAL RD, ARLINGTON HTS, IL 60005-2407
(847) 394-3553
(847) 394-3574
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31602433
BCBS PROVIDER NUMBER
IL
01
—
CA5143
MEDICARE RAILROAD
IL
Enumeration date
07/11/2005
Last updated
12/28/2007
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