Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Richard A Disanto, PA-C

Individual provider Physician Assistant · NPI 1235290883

Richard A Disanto, PA-C is a Physician Assistant in LA Grange, Illinois. Qualified in 2000, 26 years ago. Practices with Rush University Medical Group, a 1,499-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
26
Licensed in
IL
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

5201 Willow Springs Rd
LA Grange, IL 60525-6537
Phone: (708) 579-0018
Fax: (708) 579-7571
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 085001519 (IL)
Physician Assistant Taxonomy 363A00000X · Licence 1046964 (IL)

Record details

NPI number1235290883
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 13, 2006
Last updated in NPPESFebruary 25, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Rush University Medical Group — 1499 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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