Richard A Disanto, PA-C | |
5201 Willow Springs Rd, La Grange, IL 60525-6537 | |
(708) 579-0018 | |
(708) 579-7571 |
Full Name | Richard A Disanto |
---|---|
Gender | Male |
Speciality | Physician Assistant |
Experience | 24 Years |
Location | 5201 Willow Springs Rd, La Grange, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235290883 | NPI | - | NPPES |
1046964 | Other | NCCPA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | 1046964 (Illinois) | Secondary |
363AM0700X | Physician Assistant - Medical | 085001519 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Rush University Medical Center | 5496658874 | 997 |
Mailing Address | Practice Location Address |
---|---|
Richard A Disanto, PA-C 5201 Willow Springs Rd, La Grange, IL 60525 Ph: (708) 579-0018 | Richard A Disanto, PA-C 5201 Willow Springs Rd, La Grange, IL 60525-6537 Ph: (708) 579-0018 |
Traci Walters, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1415 W 47th St, La Grange, IL 60525 Phone: 219-878-5050 | |
Karen Fu, Physician Assistant Medicare: Medicare Enrolled Practice Location: 31 E Ogden Ave Unit 118, La Grange, IL 60525 Phone: 720-470-6427 | |
Stephanie Munoz, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8148 Hess Ave, La Grange, IL 60525 Phone: 708-977-0723 | |
Tracy Bongiorno, P.A.-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4727 Willow Springs Rd, Unit 3s, La Grange, IL 60525 Phone: 708-482-1099 Fax: 708-482-0335 | |
Ms. Samantha Marie Boburka, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 110 W Calendar Ave, La Grange, IL 60525 Phone: 708-745-5277 Fax: 708-579-2408 | |
Ms. Kelsey York, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1415 W 47th St, La Grange, IL 60525 Phone: 708-579-9375 Fax: 708-579-9378 |