Individual
DR. BRETT JOSEPH VASSALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1875 DEMPSTER ST, #665, PARK RIDGE, IL 60068
(847) 825-1590
(847) 825-1604
Mailing address
1875 DEMPSTER ST STE 665, PARK RIDGE, IL 60068-1168
(847) 825-1590
(847) 825-1604
Taxonomy
Speciality
Code
Description
License number
State
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
036097455
IL
207VG0400X
Gynecology Physician
036097455
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036097455
—
IL
Enumeration date
08/09/2006
Last updated
08/08/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us