Individual
JOSE DIMAURO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2525 S MICHIGAN AVENUE, MERCY HOSPTIAL AND MEDICAL CENTER, CHICAGO, IL 60616-2477
(312) 567-8762
(312) 328-7711
Mailing address
PO BOX 88487, CHICAGO, IL 60680-1487
(312) 791-2000
(312) 791-2076
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
036040978
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036040918-01
—
IL
Enumeration date
09/29/2006
Last updated
12/16/2011
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