MERRIT MARION DEBARTOLO

WOODSTOCK, IL
NPI1427379189
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208800000X Urology
(Licence: IL  036-140512)
Additional Taxonomies208800000X Urology
(Licence: WI  65614)
Enumeration Date2010-06-17
Last Update Date2018-03-17
Business Address
Dr. MERRIT MARION DEBARTOLO MD
2000 LAKE AVE
WOODSTOCK, IL 60098-7401
Phone number: 815-337-7100
Mailing Address
Dr. MERRIT MARION DEBARTOLO MD
2000 LAKE AVE
WOODSTOCK, IL 60098-7401
Phone number: 815-337-7100
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