Organization
JOSEPH P IMPERATO, M D, P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH IMPERATO M.D. (PHYSICIAN OWNER)
(847) 234-6135
Entity
Organization
Contact information
Practice address
660 N WESTMORELAND RD, LAKE FOREST HOSPITAL, LAKE FOREST, IL 60045-1659
(847) 234-6135
(847) 234-2048
Mailing address
1730 PARK ST, SUITE 101, NAPERVILLE, IL 60563-2688
(630) 718-0200
(630) 718-0900
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04925680
BLUE CROSS / BLUE SHIELD
IL
Enumeration date
02/22/2006
Last updated
02/11/2010
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