Organization
DANIEL J. PESAVENTO, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JUSTINE R GREENWELL (OFFICE MANAGER)
(847) 382-4406
Entity
Organization
Contact information
Practice address
27790 W HIGHWAY 22, SUITE 37, BARRINGTON, IL 60010-2340
(847) 382-4406
(847) 382-7098
Mailing address
27790 W HIGHWAY 22, SUITE 37, BARRINGTON, IL 60010-2340
(847) 382-4406
(847) 382-7098
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
036091317
IL
207VX0000X
Obstetrics Physician
Primary
036065375
IL
Other
Enumeration date
10/12/2011
Last updated
02/26/2015
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