Destefano&Stamat Pediatrics

LBN: Destefano&Stamat Pediatrics
Destefano&Stamat Pediatrics is an health care organization with primary practice located at 7550 W College Dr Suite B, Palos Heights IL 60463-1026. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Destefano&Stamat Pediatrics can be contacted via phone (708) 923-6262, or through Stamat, Penny via phone (708) 923-6262.

Contact Information

Primary practice address
7550 W College Dr Suite B Palos Heights IL 60463-1026
Phone: (708) 923-6262
Fax: (708) 923-6868
Website:
Map and Directions
Authorized official contact:
Name: Stamat, Penny
Phone: (708) 923-6262

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1275726564
LBN Legal business name Destefano&Stamat Pediatrics
DBA Doing business as
Authorized official Stamat, Penny
Entity Organization
Organization subpart 1 No
Enumeration date Aug 21st, 2007
Last updated Jun 27th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275726564 NPPES
Illinois MEDICAID 036069672

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