Individual
DR. DANIEL C DESIMONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13755 CICERO AVE, CRESTWOOD, IL 60418-1824
(708) 972-7642
(708) 925-9179
Mailing address
13755 CICERO AVE, CRESTWOOD, IL 60418-1824
(708) 972-7642
(708) 925-9179
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036-078524
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200998470
—
IN
Enumeration date
09/21/2005
Last updated
01/22/2021
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