Individual
ANTHONY F ALTIMARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7 BLANCHARD CIR, WHEATON, IL 60189-2037
(630) 668-0833
(630) 668-7685
Mailing address
7 BLANCHARD CIR, STE 104, WHEATON, IL 60189-2037
(630) 668-0833
(630) 668-7685
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036070901
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036070901
MEDICAID
IL
01
—
206147
MEDICARE (GROUP PTAN)
IL
01
—
206147263
MEDICARE (INDIVIDUAL PTAN)
IL
01
—
CA4748
MEDICARE RAILROAD (GROUP)
IL
01
—
P01245137
MEDICARE RAILROAD (PROVIDER)
IL
Enumeration date
02/14/2006
Last updated
01/27/2014
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