Individual
DR. LARISSA RAE PAVONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
26W171 ROOSEVELT ROAD, MARIANJOY REHABILITATION HOSPITAL, WHEATON, IL 60187
(630) 909-7337
(630) 909-7039
Mailing address
26W171 ROOSEVELT ROAD, MARIANJOY REHABILITATION HOSPITAL, WHEATON, IL 60187
(630) 909-7337
(630) 909-7039
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
036.125665
IL
208100000X
Physical Medicine & Rehabilitation Physician
125051399
IL
Other
Enumeration date
04/22/2008
Last updated
02/08/2018
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