Provider Demographics
NPI:1376866913
Name:DI SABATO, DIEGO MARTIN (MD)
Entity Type:Individual
Prefix:DR
First Name:DIEGO
Middle Name:MARTIN
Last Name:DI SABATO
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Gender:M
Credentials:MD
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Mailing Address - Street 1:2160 S 1ST AVE
Mailing Address - Street 2:BUILDING 110, TRANSPLANT CENTER
Mailing Address - City:MAYWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60153-3328
Mailing Address - Country:US
Mailing Address - Phone:708-216-9000
Mailing Address - Fax:708-327-2852
Practice Address - Street 1:2160 S 1ST AVE
Practice Address - Street 2:BUILDING 110, TRANSPLANT CENTER
Practice Address - City:MAYWOOD
Practice Address - State:IL
Practice Address - Zip Code:60153-3328
Practice Address - Country:US
Practice Address - Phone:708-216-9000
Practice Address - Fax:708-327-2852
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-10
Last Update Date:2013-06-11
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Provider Licenses
StateLicense IDTaxonomies
IL036.129490204F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204F00000XAllopathic & Osteopathic PhysiciansTransplant Surgery