Frank A Donatello Rph Do Pc | |
6360 West 159th Street Suites D & E Oak Forest IL 60452-2725 | |
(708) 535-6204 | |
Not Available |
Full Name | Frank A Donatello Rph Do Pc |
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Speciality | Family Medicine |
Location | 6360 West 159th Street, Oak Forest, Illinois |
Authorized Official Name and Position | Frank A. Donatello (PRESIDENT) |
Authorized Official Contact | 7085356204 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Frank A Donatello Rph Do Pc 6360 W. 159th Street Suites D & E Oak Forest IL 60452-2725 Ph: (708) 535-6204 | Frank A Donatello Rph Do Pc 6360 West 159th Street Suites D & E Oak Forest IL 60452-2725 Ph: (708) 535-6204 |
NPI Number | 1922205970 |
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Provider Enumeration Date | 07/02/2007 |
Last Update Date | 11/21/2007 |
Medicare PECOS PAC ID | 7416993217 |
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Medicare Enrollment ID | O20050701000444 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922205970 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Frank A Donatello |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1801843156 PECOS PAC ID: 4688610488 Enrollment ID: I20050705000635 |
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