Organization
DANIEL J. PESAVENTO, M.D.,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL J PESVENTO M.D. (PRESIDENT)
(847) 382-4406
Entity
Organization
Contact information
Practice address
27790 W HIGHWAY 22, SUITE 37, BARRINGTON, IL 60010-2340
(847) 382-4406
(847) 382-7098
Mailing address
27790 W HIGHWAY 22, SUITE 37, BARRINGTON, IL 60010-2340
(847) 382-4406
(847) 382-7098
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036065375
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036065375
—
IL
Enumeration date
03/21/2012
Last updated
03/21/2012
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