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Dr. Michael David Santilli, DO

Family Medicine in Countryside, IL. Individual provider (NPI-1).

NPI number1497768865
StatusActive
Last updated in NPPESJul 1, 2008

Details

NPI
1497768865
Entity type
Individual (NPI-1)
Name
Dr. Michael David Santilli
Credential
DO
Sex
Male
Sole proprietor
Yes
Enumeration date
Aug 15, 2006
Last updated
Jul 1, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine36103975ILYes

Practice location

7345 Prescott Ln
Countryside, IL 60525-5037

Phone 708-354-9405 · Fax 708-354-9140

Mailing address

7345 Prescott Ln
Countryside, IL 60525-5037

Phone 708-354-9405 · Fax 708-354-9140

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