Dimauro, Jose

Dimauro, Jose is an individual health care provider with primary practice located at 2525 S Michigan Avenue Mercy Hosptial And Medical Center, Chicago IL 60616-2477. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Dimauro, Jose can be contacted via phone (312) 567-8762.

Contact Information

Primary practice address
2525 S Michigan Avenue Mercy Hosptial And Medical Center Chicago IL 60616-2477
Phone: (312) 567-8762
Fax: (312) 328-7711
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 036040978 Illinois

Profile Details

NPI number 1700978202
LBN Legal business name Dimauro, Jose
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2006
Last updated Dec 16th, 2011 - about 13 years 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700978202 NPPES
Illinois MEDICAID 036040918-01

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