MICHAEL DON DESTEFANO (NPI# 1588796320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588796320 |
| Entity Type | Individual |
| Full Name | MICHAEL DON DESTEFANO |
| Credential | M.D. |
| Practice Address |
7000 W 111th St Worth IL 60482-1851 |
| Mailing Address |
12504 Southwest Hwy Palos Park IL 60464-1851 |
| Practice Telephone | 7083610100 |
| Practice Fax Number | 7083612742 |
| Mailing Telephone | 7082149281 |
| Mailing Fax Number | 7083614570 |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447873369 | Michael Destefano | Physical Therapy Assistant | 6010 Bay Pkwy Fl 1, Brooklyn, NY 11204-6079 | 2020-05-27 |
| 1407200116 | Michael Destefano | Student in an Organized Health Care Education/Training Program | 75 N Country Rd, Port Jefferson, NY 11777-2119 | 2016-04-19 |
| 1982972378 | Michael A Destefano | Psychologist | 14 S Bryn Mawr Ave, Suite 205, Bryn Mawr, PA 19010-3216 | 2011-12-13 |
| 1326369943 | Michael William Destefano | Radiology | 1 Cooper Plz, Camden, NJ 08103 | 2010-06-17 |
| 1295912988 | Michael G Destefano | Psychologist | 10333 El Camino Real, Atascadero, CA 93422-5808 | 2008-01-25 |
| 1972536712 | Michael J Destefano | Social Worker | 110 Lincoln Street, Ridgway, PA 15853 | 2006-07-07 |
| 1609864040 | Michael Joseph Destefano | Obstetrics & Gynecology | 100 Navarre Pl, Ste. 4470, South Bend, IN 46601-1156 | 2005-10-10 |
| Street Address |
7000 W 111TH ST |
| City | WORTH |
| State | IL |
| Zip Code | 60482-1851 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639127459 | Cynthia M Waickus | Family Medicine | 7000 W 111th St, Suite 210, Worth, IL 60482-1851 | 2006-05-04 |
| 1073958260 | Michele Lynn Nowak | Counselor | 7000 W 111th St, Worth, IL 60482-1851 | 2013-05-01 |
| 1801082870 | Michael Destefano M.d. S.c. | Pediatrics | 7000 W 111th St, Worth, IL 60482-1851 | 2007-09-24 |
| 1336197607 | David A Stewart | Family Medicine | 7000 W 111th St, Suite 210, Worth, IL 60482-1851 | 2006-05-05 |
| 1811945389 | William A Schwer | Family Medicine | 7000 W 111th St, Suite 210, Worth, IL 60482-1851 | 2006-05-05 |
| 1598713034 | Alice Daniels | Family Medicine | 7000 W 111th St, Suite 210, Worth, IL 60482-1851 | 2006-05-05 |
| 1871541557 | Rush University Medical Center | Family Medicine | 7000 W 111th St, Suite 210, Worth, IL 60482-1851 | 2006-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386093433 | Bernadette Muloski | Social Worker | 7000 W. 111th St., Worth, IL 60482 | 2016-06-09 |
| 1780084830 | Jennifer L Meehan | Massage Therapist | 11259 S. Harlem Ave., Worth, IL 60482 | 2014-08-26 |
| 1679879977 | Daniel Thomas Bodine | Dentist | 11130 South Harlem Ave., Worth, IL 60482 | 2011-02-03 |
| 1114156916 | Completely Chiropractic, Ltd. | Chiropractor | 6852 W 111th Street, Worth, IL 60482 | 2009-07-14 |
| 1891918835 | Thomas Frank Thomas | Naprapath | 7301 So West Hwy, Worth, IL 60482 | 2007-04-10 |
| 1922174416 | Bernard O Obrien Dc PC | Chiropractor | 11259 S Harlem Ave, Worth, IL 60482 | 2006-11-27 |
| 1164500534 | Daniel T Bodine Dds PC | Dentist | 11130 South Harlem Ave, Worth, IL 60482 | 2006-11-01 |
| 1629151766 | Richard J Dykstra | Optometrist | 6956 W 111th St, Worth, IL 60482 | 2006-10-23 |
| 1265455638 | Village of Worth | Ambulance | 7116 W 111th St, Worth, IL 60482 | 2006-07-25 |
| 1366485641 | Lisa M Pertile | Social Worker | 111s1 S New England, Worth Junior High, Worth, IL 60482 | 2006-06-14 |
| Find all providers in zip 60482 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801082870 | Michael Destefano M.d. S.c. | Pediatrics | 7000 W 111th St, Worth, IL 60482-1851 | 2007-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801494364 | Mebe Illinois | Pediatrics | 825 S Waukegan Rd Ste A8, Lake Forest, IL 60045-2665 | 2020-10-15 |
| 1326656125 | Kids Pediatrics Ltd | Pediatrics | 288 W Loop Rd, Wheaton, IL 60189-2034 | 2020-07-17 |
| 1922625672 | Tanya Montgomery Nee Brown | Pediatrics | 1950 West Polk Street, Neonatal and Perinatal Department, Chicago, IL 60612 | 2020-06-29 |
| 1780200865 | Kuang Chuen Liu | Pediatrics | 530 Ne Glen Oak Ave, Peoria, Peoria, IL 61637 | 2020-06-24 |
| 1487277596 | Kali Ann Kramolis | Pediatrics | 5841 S Maryland Ave Rm K155, Chicago, IL 60637-1443 | 2020-05-22 |
| 1578186839 | Katie Michelle Stapleton | Pediatrics | Osf St Francis Medical Center 530 Ne Glen Oak Avenue, Peoria, IL 61637-0001 | 2020-05-21 |
| 1467074492 | Kinnera Are | Pediatrics | 400 N 9th St Ste 4a, Springfield, IL 62702-5310 | 2020-05-13 |
| 1053932673 | Jain Pediatrics LLC | Pediatrics | 33 N Addison Rd Ste 106, Addison, IL 60101-3843 | 2020-05-05 |
| 1164050670 | Sruti Uppuluri | Pediatrics | 1675 Dempster St Ste 330, Park Ridge, IL 60068-1110 | 2020-03-30 |
| 1386272086 | Jane Bialek | Pediatrics | 5841 S Maryland Ave # Mc1502, Chicago, IL 60637-1443 | 2020-03-29 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.