# MELROSE PARK CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578603023
- **Authorized official:** JOSEPH L GACCLUNO JR. MD (ADMINISTRATOR OWNER)
- **Authorized official phone:** (708) 343-2500

## Contact information

- **Practice address:** 1252 WINSTON PLAZA, MELROSE PARK, IL 60160
- **Practice address phone:** (708) 343-2500
- **Practice address fax:** (708) 343-9545
- **Mailing address:** 1252 WINSTON PLAZA, MELROSE PARK, IL 60160
- **Mailing address phone:** (708) 343-2500
- **Mailing address fax:** (708) 343-9545

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/07/2007
- **Last updated:** 08/22/2020