Dipasquo, Raymond P
Dipasquo, Raymond P is an individual health care provider with primary practice located at 12701 W 143Rd St Suite 250, Homer Glen IL 60491-7715. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Dipasquo, Raymond P can be contacted via phone (708) 301-1400.Contact Information
Primary practice address
12701 W 143Rd St Suite 250
Homer Glen IL 60491-7715
Phone: (708) 301-1400
Fax: (708) 301-4295
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036069676 | Illinois |
Profile Details
| NPI number | 1912950916 |
|---|---|
| LBN Legal business name | Dipasquo, Raymond P |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 19th, 2006 |
| Last updated | May 18th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912950916 | NPPES |
| Illinois | MEDICAID | 036069676 |
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