Individual
DAVID B CESPEDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
130 S MAIN ST STE 201, LOMBARD, IL 60148-2670
(331) 221-9001
(331) 221-3957
Mailing address
4201 WINFIELD RD FL 4, WARRENVILLE, IL 60555-4025
(331) 221-6377
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036103834
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036103834
IL STATE LICENSE
IL
05
—
362742950-60123-01
—
IL
01
—
4515545
BCBS IL PROVIDER NUMBER
IL
Enumeration date
07/29/2005
Last updated
05/04/2021
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