J L Giacchino/s D Demorest MD Assc
NPI #1285823237 in Melrose Park, Illinois
Provider Information
- NPI Number
- 1285823237
- Entity Type
- Organization
- Organization Name
- J L Giacchino/s D Demorest MD Assc
- Primary Specialty
- Family Medicine
- Enumeration Date
- Oct 16, 2007
- Last Updated
- Jun 18, 2008
Practice Location
- Address
- 1252 WINSTON PLAZA
- City
- Melrose Park
- State
- Illinois
- ZIP Code
- 60160-1507
- Phone
- (708) 343-2500
Authorized Official
- Name
- JOSEPH L GIACCHINO JR.
- Title
- OWNER
- Phone
- (708) 343-2500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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