Provider Demographics
NPI:1801862859
Name:DUPAGE SURGICAL CONSULTANTS, LTD.
Entity Type:Organization
Organization Name:DUPAGE SURGICAL CONSULTANTS, LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:F
Authorized Official - Last Name:ALTIMARI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:630-668-0833
Mailing Address - Street 1:7 BLANCHARD CIR
Mailing Address - Street 2:SUITE 104
Mailing Address - City:WHEATON
Mailing Address - State:IL
Mailing Address - Zip Code:60189-2037
Mailing Address - Country:US
Mailing Address - Phone:630-668-0833
Mailing Address - Fax:630-668-7685
Practice Address - Street 1:7 BLANCHARD CIR
Practice Address - Street 2:SUITE 104
Practice Address - City:WHEATON
Practice Address - State:IL
Practice Address - Zip Code:60189-2037
Practice Address - Country:US
Practice Address - Phone:630-668-0833
Practice Address - Fax:630-668-7685
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-28
Last Update Date:2010-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty