J L Giacchino/s D Demorest Md Assc | |
1252 Winston Plaza Melrose Park IL 60160-1507 | |
(708) 343-2500 | |
(708) 343-9545 |
Full Name | J L Giacchino/s D Demorest Md Assc |
---|---|
Speciality | Family Medicine |
Location | 1252 Winston Plaza, Melrose Park, Illinois |
Authorized Official Name and Position | Joseph L Giacchino (OWNER) |
Authorized Official Contact | 7083432500 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
J L Giacchino/s D Demorest Md Assc 8383 W Belmont Ave Suite 307 River Grove IL 60171 Ph: (708) 453-1325 | J L Giacchino/s D Demorest Md Assc 1252 Winston Plaza Melrose Park IL 60160-1507 Ph: (708) 343-2500 |
NPI Number | 1285823237 |
---|---|
Provider Enumeration Date | 10/16/2007 |
Last Update Date | 06/18/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285823237 | NPI | - | NPPES |
737320 | Other | IL | MEDICARE |
21608664 | Other | IL | BLUE CROSS/BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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