Individual
VINCENZO PADOVANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
890 GARFIELD AVE, LIBERTYVILLE, IL 60048-4723
(847) 367-0022
(847) 680-0696
Mailing address
890 GARFIELD AVE STE 104, LIBERTYVILLE, IL 60048-3100
(847) 367-0022
(847) 680-0696
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036097726
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036097726
—
IL
Enumeration date
12/12/2005
Last updated
02/13/2013
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