NPI
Michael Don Destefano
This page is a copy of the public NPPES file.
Facts
- Status
- Active
- Credential
- M.D.
- Type
- Individual
- Enumeration date
- 2007-03-09
- Last updated
- 2007-07-08
Specialties
Licenses
- License IL
- 036 063442
Location
- Practice location
- 7000 W 111th St
- City
- Worth IL
- Postal code
- 60482-1851
- Phone
- (708) 361-0100
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.
Nearby
Other NPIs in Worth, IL. 118 records in the public file.
Removal request
Public data from NPPES and CMS. Not a credentialing determination.
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