Iaccino, David G

Iaccino, David G is an sole proprietor health care provider with primary practice located at 10661 S Roberts Rd Suite 108, Palos Hills IL 60465-1992. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Iaccino, David G can be contacted via phone (708) 974-4380.

Contact Information

Primary practice address
10661 S Roberts Rd Suite 108 Palos Hills IL 60465-1992
Phone: (708) 974-4380
Fax: (708) 974-4383
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 016003882 Illinois

Profile Details

NPI number 1578668893
LBN Legal business name Iaccino, David G
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 13th, 2006
Last updated Oct 30th, 2008 - about 17 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 1578668893 NPPES
Other 480006875 RAILROAD MCR
Other 60001580 RAILROAD MCR

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