Dr. Thomas Leo Dimatteo, MD
Psychiatry & Neurology, Psychiatry in Lisle, IL. Individual provider (NPI-1).
NPI number1487601985
StatusActive
Last updated in NPPESMay 1, 2014
Details
- NPI
- 1487601985
- Entity type
- Individual (NPI-1)
- Name
- Dr. Thomas Leo Dimatteo
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 28, 2006
- Last updated
- May 1, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | 036099838 | IL | Yes |
| 2084P0804X | Psychiatry & Neurology, Child & Adolescent Psychiatry | 036-099838 | IL | |
| 2084P0804X | Psychiatry & Neurology, Child & Adolescent Psychiatry | 036099838 | IL |
Practice location
5950 Lincoln AveUnit W
Lisle, IL 60532-3104
Phone 630-541-8930 · Fax 630-541-8940
Mailing address
5950 Lincoln AveUnit W
Lisle, IL 60532-3104
Phone 630-541-8930 · Fax 630-541-8940
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