Michael Don Destefano, MD is a
Pediatrics physician based in Worth, Illinois. Michael Don Destefano is licensed to practice in Illinois (license number ) and his current practice location is 7000 W 111th St, Worth, Illinois. He can be reached at his office (for appointments etc.) via phone at
(708) 361-0100.
NPI number for Michael Don Destefano is 1588796320 and his current mailing address is 12504 Southwest Hwy, Palos Park, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1588796320.
Physician's Profile
| Full Name | Michael Don Destefano |
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| Gender | Male |
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| Speciality | Pediatrics |
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| Location | 7000 W 111th St, Worth, Illinois |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1588796320
- Provider Enumeration Date: 03/09/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Michael Don Destefano such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1588796320 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Michael Don Destefano is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Michael Don Destefano, MD
12504 Southwest Hwy,
Palos Park, IL 60464-1851
Ph: (708) 214-9281 | Michael Don Destefano, MD
7000 W 111th St,
Worth, IL 60482-1851
Ph: (708) 361-0100 |
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