Individual
MR. SALVATORE ANTHONY DEPASQUALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SA-C
Contact information
Practice address
8238 KNICKERBOCKER PL, SAINT JOHN, IN 46373-9438
(708) 990-8737
(708) 564-5062
Mailing address
8238 KNICKERBOCKER PL, SAINT JOHN, IN 46373-9438
(708) 990-8737
(708) 564-5062
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
238.000224
IL
Other
Enumeration date
07/27/2009
Last updated
04/25/2023
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