Individual
MICHAEL DON DESTEFANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7000 W 111TH ST, WORTH, IL 60482-1851
(708) 361-0100
(708) 361-2742
Mailing address
12504 SOUTHWEST HWY, PALOS PARK, IL 60464-1851
(708) 214-9281
(708) 361-4570
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
IL
Other
Enumeration date
03/09/2007
Last updated
07/08/2007
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