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DOMINIC J TOLITANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
311 N WALNUT AVE, STE 100, WOOD DALE, IL 60191
(630) 860-0035
(630) 860-5262
Mailing address
777 OAKMONT LN, SUITE 1600, WESTMONT, IL 60559-5511
(630) 789-2550

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
036067328
IL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
01063986A
IN
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
036067328
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
02233112
BCBS PROVIDER ID
IL
05
036067328
IL
01
2232802
BCBS PROVIDER ID
IL
01
780000579
RAILROAD MEDICARE
IL
01
P00118649
RAILROAD MEDICARE
IL
01
P00460001
RAIL ROAD MEDICARE
IL
Enumeration date
04/04/2006
Last updated
10/28/2020
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