Giacchino, Joseph L

Giacchino, Joseph L is an individual health care provider with primary practice located at 1252 Winston Plaza , Melrose Park IL 60160. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Giacchino, Joseph L can be contacted via phone (708) 343-2500.

Contact Information

Primary practice address
1252 Winston Plaza Melrose Park IL 60160
Fax: (708) 343-9545
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036050366 Illinois

Profile Details

NPI number 1306901400
LBN Legal business name Giacchino, Joseph L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2006
Last updated Jun 2nd, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306901400 NPPES
Illinois Other 16172816 BLUE CROSS BLUE SHIELD
Illinois MEDICAID 036050366 BLUE CROSS BLUE SHIELD
Illinois Other 738410 BLUE CROSS BLUE SHIELD

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