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Richard A Disanto, PA-C
Medical Physician Assistant in La Grange, Illinois
NPI 1235290883

Richard A Disanto is a Medical Physician Assistant based in La Grange, IL and is specialized in Medical. Richard A Disanto practices in La Grange, IL and has the professional credentials of PA-C. The NPI Number for Richard A Disanto is 1235290883 and holds a License No. 1046964 (Illinois).

The current practice location address for Richard A Disanto is 5201 Willow Springs Rd, La Grange, IL and can be reached out via phone at 708-579-0018 and via fax at 708-579-7571.

Location: 5201 Willow Springs Rd, La Grange, IL, 60525
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235290883
Provider Name
Richard A Disanto
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
5201 Willow Springs Rd, La Grange, IL, 60525
Phone Number
708-579-0018
Fax Number
708-579-7571
Provider Enumeration Date
12/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1046964 01 NCCPA
institution
Provider Business Practice Location Address Details
Address
5201 Willow Springs Rd
City
La Grange
State
Illinois
Zip
60525-6537
Phone Number
708-579-0018
Fax Number
708-579-7571
person
Provider Business Mailing Address Details
Address
5201 Willow Springs Rd
City
La Grange
State
Illinois
Zip
60525-6537
Phone Number
708-579-0018
Fax Number
708-579-7571
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
085001519 (Illinois)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
1046964 (Illinois)
Definition
Definition to come...
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