Individual
ANTHONY SCAVONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
25 N WINFIELD RD STE 400, WINFIELD, IL 60190-1222
(630) 456-7178
(630) 456-7486
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
125-064476
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036143232
—
IL
Enumeration date
04/29/2014
Last updated
08/18/2023
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