Individual
ANTHONY J PIPITONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
7 BLANCHARD CIR, SUITE 206, WHEATON, IL 60189-2039
(630) 653-0848
(630) 653-0988
Mailing address
7 BLANCHARD CIR, SUITE 206, WHEATON, IL 60189-2039
(630) 653-0848
(630) 653-0988
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036105141
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036105141
—
IL
01
—
L97245
MEDICARE PTAN (INDIVIDUAL)
IL
01
—
P00005551
MEDICARE RAILROAD
IL
Enumeration date
07/24/2006
Last updated
05/18/2013
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