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NPI Code Detail

MEDICARE: DR. PATRICK J DICILLO D.O.

MEDICARE:  DR. PATRICK J DICILLO  D.O.
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
1207Q00000XFamily Medicine Physician036-055885IL

General Provider Information

NPI Number : 1932126869
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PATRICK J DICILLO D.O.
Provider Business Mailing Address
First Line : 27055 W CUBA RD
Second Line :
City : BARRINGTON
State : IL
Zip : 60010-5953
Country : US
Telephone Number : 847-382-1239
Fax Number :
Provider Business Practice Location Address
First Line : 371 W NORTHWEST HWY
Second Line :
City : PALATINE
State : IL
Zip : 60067-2414
Country : US
Telephone Number : 847-776-7800
Fax Number : 847-776-7623
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/16/2006
Last Update Date : 07/08/2007

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Directions to “ DR. PATRICK J DICILLO D.O.” Practice Location

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