Organization
JANETA DIMANTE M.D.S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JANETA DIMANTE M.D, (PHYSICIAN)
(630) 262-2751
Entity
Organization
Contact information
Practice address
302 RANDALL RD, SUITE 305, GENEVA, IL 60134-4209
(630) 262-2751
(630) 262-2755
Mailing address
302 RANDALL RD, SUITE 305, GENEVA, IL 60134-4209
(630) 262-2751
(630) 262-2755
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036114487
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036114487
—
IL
Enumeration date
12/10/2009
Last updated
11/09/2011
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