Dastice, Michael D
Dastice, Michael D is an individual health care provider with primary practice located at 10500 S Cicero Ave , Oak Lawn IL 60453-5205. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Dastice, Michael D can be contacted via phone (708) 424-1202.Contact Information
Primary practice address
10500 S Cicero Ave
Oak Lawn IL 60453-5205
Phone: (708) 424-1202
Fax: (708) 424-1395
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 036086042 | Illinois |
Profile Details
| NPI number | 1952358939 |
|---|---|
| LBN Legal business name | Dastice, Michael D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 27th, 2006 |
| Last updated | May 2nd, 2024 - about 7 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952358939 | NPPES |
| Illinois | MEDICAID | 036086042 |
Popular Providers
-
Arndt, Thomas
9921 Southwest Hwy , Oak Lawn IL 60453-3767 -
Kruss, Daniel M.
520 S Maple Ave , Oak Park IL 60304-1022 -
Vadali, Mahesh
10458 S Pulaski Rd , Oak Lawn IL 60453-4933 -
Muscarello, Vincent
9921 Southwest Hwy , Oak Lawn IL 60453-3767 -
Patel, Samir
9921 Southwest Hwy , Oak Lawn IL 60453-3767 -
Mehta, Bhupat
67 Regent Dr , Oak Brook IL 60523-1745 -
Lue, Wayne
9921 Southwest Hwy , Oak Lawn IL 60453-3767 -
Elkhatib, Imad M
4400 W 95Th St Ste 310 , Oak Lawn IL 60453-2660