Melrose Park Clinic

NPI #1578603023 in Melrose Park, Illinois

Provider Information

NPI Number: 1578603023
Entity Type: Organization
Organization Name: Melrose Park Clinic
Primary Specialty: Family Medicine
Enumeration Date: Feb 7, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 1252 WINSTON PLAZA
City: Melrose Park
State: Illinois
ZIP Code: 60160
Phone: (708) 343-2500

Authorized Official

Name: JOSEPH L GACCLUNO JR., MD
Title: ADMINISTRATOR OWNER
Phone: (708) 343-2500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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