Individual
DR. MICHAEL FRANCIS DUPONT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5201 WILLOW SPRINGS RD, SUITE 300, LA GRANGE HIGHLANDS, IL 60525-6537
(708) 482-8088
(708) 482-9034
Mailing address
5201 WILLOW SPRINGS RD, SUITE 300, LA GRANGE HIGHLANDS, IL 60525-6537
(708) 482-8088
(708) 482-9034
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36085104
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036085104
—
IL
Enumeration date
05/12/2006
Last updated
11/05/2012
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