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Individual

DR. THOMAS LEO DIMATTEO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5950 LINCOLN AVE, UNIT W, LISLE, IL 60532-3104
(630) 541-8930
(630) 541-8940
Mailing address
5950 LINCOLN AVE, UNIT W, LISLE, IL 60532-3104
(630) 541-8930
(630) 541-8940

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036099838
IL
2084P0804X
Child & Adolescent Psychiatry Physician
036-099838
IL
2084P0804X
Child & Adolescent Psychiatry Physician
036099838
IL

Other

Enumeration date
05/28/2006
Last updated
05/01/2014
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