Hansel M Debartolo Jr MD SC
Hansel M Debartolo Jr MD SC is an Otolaryngology Physician in Sugar Grove, Illinois. Licensed in Illinois. Registered with an NPI since 2012.
- Licensed in
- IL
- In the registry since
- 2012
- Specialties on file
- 2
Practice location Address checks out
11 Debartolo DrSugar Grove, IL 60554
Phone: (630) 859-1818
Fax: (630) 859-1830
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Specialties & licences
| Otolaryngology Physician (primary) | Taxonomy 207Y00000X · Licence 036-054436 (IL) |
|---|---|
| Plastic and Reconstructive Surgery Physician | Taxonomy 2086S0122X · Licence 036-054436 (IL) |
Record details
| NPI number | 1518223791 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Hansel Debartolo — President · (630) 859-1818 |
| NPI enumerated | April 2, 2012 |
| Last updated in NPPES | May 8, 2012 |
| Mailing address | 11 Debartolo Dr., Sugar Grove, IL 60554 |