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Organization

DESTEFANO&STAMAT PEDIATRICS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. PENNY STAMAT (OFFICE MANAGER)
(708) 923-6262
Entity
Organization

Contact information

Practice address
7550 W COLLEGE DR, SUITE B, PALOS HEIGHTS, IL 60463-1026
(708) 923-6262
(708) 923-6868
Mailing address
7550 W COLLEGE DR, SUITE B, PALOS HEIGHTS, IL 60463-1026
(708) 923-6262
(708) 923-6868

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036069672
IL
Enumeration date
08/21/2007
Last updated
06/27/2016
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