Robert P. Dichristofano

Primary specialty

DentistTaxonomy code 122300000X

License

019019735 Issued in IL

Practice address

7615 W Montrose Ave
Norridge, IL 60706-1045

Phone

(708) 453-0777

Fax

(707) 453-4970

NPI assigned

Jun 20, 2008

Last updated

Jun 20, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1213920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213920000000",
    "number": "1194986224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7615 W MONTROSE AVE",
            "city": "NORRIDGE",
            "state": "IL",
            "postal_code": "607061045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7615 W MONTROSE AVE",
            "city": "NORRIDGE",
            "state": "IL",
            "postal_code": "607061045",
            "telephone_number": "708-453-0777",
            "fax_number": "707-453-4970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICHRISTOFANO",
        "first_name": "ROBERT",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-20",
        "last_updated": "2008-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019019735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Davies Dental Services, PLLC
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• Maria Angela Di Giulio
• Peter Anthony Dichristofano Jr., DDS
• Tea Dimo
• Paulina Drosinski
• DX Medical and Physical Therapy Clinic LTD
• DX Physical Therapy & Rehabilitation, LTD.
• Eleonora Kul Lipski MD SC

• Dentist in Norridge, IL
• Providers in Norridge, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.