Joseph Giancarlo, D.O.
Pediatrics in Joliet, IL. Individual provider (NPI-1).
NPI number1306189204
StatusActive
Last updated in NPPESJun 23, 2016
Details
- NPI
- 1306189204
- Entity type
- Individual (NPI-1)
- Name
- Joseph Giancarlo
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 29, 2013
- Last updated
- Jun 23, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 036.139846 | IL | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | OH |
Practice location
114 Barney DrJoliet, IL 60435-6404
Phone 708-743-7136
Mailing address
18539 Zurich LnTinley Park, IL 60477-4406
Phone 708-743-7136
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