Disavino, Elia Maria

Disavino, Elia Maria is an individual health care provider with primary practice located at John H. Stroger, Jr. Hospital Of Cook County 1901 W. Harrison St., Chicago IL 60612-3714. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Disavino, Elia Maria can be contacted via phone (312) 864-6000.

Contact Information

Primary practice address
John H. Stroger, Jr. Hospital Of Cook County 1901 W. Harrison St. Chicago IL 60612-3714
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 036-106631 Illinois

Profile Details

NPI number 1053418350
LBN Legal business name Disavino, Elia Maria
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Apr 22nd, 2021 - about 4 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 1053418350 NPPES
Illinois Other 26294 PROVIDER ID OR MRAN#

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