DR. MATTHEW DESTEFANI (NPI# 1992187074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992187074 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW DESTEFANI |
| Credential | MD |
| Practice Address |
109 Symonds Dr # 578 Hinsdale IL 60521 |
| Mailing Address |
109 Symonds Dr # 578 Hinsdale IL 60521-3763 |
| Practice Telephone | 6308566782 |
| Practice Fax Number | 6308565703 |
| Mailing Telephone | 6308566782 |
| Mailing Fax Number | 6308565703 |
| Enumeration Date | 2015-06-24 |
| Last Update Date | 2018-12-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 036.146359 | IL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4440 W 95th St, Oak Lawn, IL 604532600 | 7086845375 | 7086841028 |
| Street Address |
109 SYMONDS DR # 578 |
| City | HINSDALE |
| State | IL |
| Zip Code | 60521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386256170 | Infinity Yoga LLC | Counselor | 702 Mills St, Hinsdale, IL 60521 | 2020-08-21 |
| 1427696855 | Anne Didier | Nurse Practitioner | 40 South Clay St., Suite 200, West Building, Hinsdale, IL 60521 | 2019-12-16 |
| 1619469244 | Rush Oak Brook Surgery Center, LLC | Clinic/Center | 2011 York Road, Suite 3000, Oak Brook, IL 60521 | 2018-05-30 |
| 1639680275 | Kelly M Lyell | Psychologist | 950 S Oak St, Hinsdale, IL 60521 | 2017-10-23 |
| 1386169720 | Elizabeth Ann Thorsness | Counselor | 412 East Fourth St., Hinsdale, IL 60521 | 2017-08-07 |
| 1275057424 | Bryndal Nicole Chervinko | Audiologist | 908 North Elm Street, Suite 306, Hinsdale, IL 60521 | 2017-07-31 |
| 1972038990 | Carolyn M Ball | Counselor | 19 N Grant St Ste 2c, Hinsdale, IL 60521 | 2017-04-27 |
| 1710429964 | Smiling Star Speech & Language | Speech-Language Pathologist | 120 E Odgen Avenue, Suite 110, Hinsdale, IL 60521 | 2016-11-04 |
| 1972964773 | Sharon Grob Murphy | Psychologist | 728 S. Park Ave., Hinsdale, IL 60521 | 2016-03-08 |
| 1881074599 | Zoheb Osman | Family Medicine | 911 N Elm St Ste 301, Hinsdale, IL 60521 | 2015-06-08 |
| Find all providers in zip 60521 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003838210 | George Alan Idelkope | Emergency Medicine | 68 Brattleboro Rd, Hinsdale, NH 03451 | 2006-07-24 |
| 1144297144 | Asim R Raja | Emergency Medicine | 608 W 55th St, Hinsdale, IL 60521-4357 | 2006-03-08 |
| 1639150121 | Zewdu Haile | Emergency Medicine | 135 N Oak St, Hinsdale, IL 60521-3860 | 2005-11-10 |
| 1518952027 | Alicia M. Salazar | Emergency Medicine | 40 S Clay St Ste 110, Hinsdale, IL 60521-3257 | 2005-09-12 |
| 1982016499 | Amanda Lipon | Emergency Medicine | 120 N Oak St, Hinsdale, IL 60521-3829 | 2014-06-02 |
| 1912347402 | Christopher Jeziorkowski | Emergency Medicine | 120 N Oak St, Hinsdale, IL 60521-3829 | 2013-06-27 |
| 1063708196 | Nicolas Kettaneh | Emergency Medicine | 120 N Oak St, Hinsdale, IL 60521-3829 | 2011-06-27 |
| 1124317847 | John Nicholas Moustoukas | Emergency Medicine | 120 N Oak St, Hinsdale, IL 60521-3829 | 2011-04-04 |
| 1336305051 | Herbert Martin Zerth IIi | Emergency Medicine | 120 N Oak St, Hinsdale, IL 60521-3829 | 2008-08-01 |
| 1508032178 | Julie Ditto | Emergency Medicine | 120 N Oak St, Hinsdale, IL 60521-3829 | 2008-05-05 |
| Find all providers in HINSDALE | ||||
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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.