MEDICARE: DR. DEAN JOSEPH CONTERATO MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0001X	Radiation Oncology Physician	036074971	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1033110192
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DEAN JOSEPH CONTERATO MD

Provider Business Mailing Address
First Line	:	700 COMMERCE DR
Second Line	:	SUITE 500
City	:	OAK BROOK
State	:	IL
Zip	:	60523-1546
Country	:	US
Telephone Number	:	847-698-0600
Fax Number	:	847-698-0601

Provider Business Practice Location Address
First Line	:	801 S MILWAUKEE AVE
Second Line	:
City	:	LIBERTYVILLE
State	:	IL
Zip	:	60048-3204
Country	:	US
Telephone Number	:	847-990-5910
Fax Number	:	847-573-4250

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/10/2005
Last Update Date	:	12/25/2021

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