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Individual

DAVID D PASQUALE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153
(708) 216-9000
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-9000

Taxonomy

Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
ME132950
FL
2085R0202X
Diagnostic Radiology Physician
Primary
036131439
IL
2085R0202X
Diagnostic Radiology Physician
ME132950
FL
2085R0204X
Vascular & Interventional Radiology Physician
ME132950
FL

Other

Enumeration date
07/12/2007
Last updated
04/30/2021
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