Individual
JOHN G SCARAMELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4920 N CENTRAL AVE, SUITE 2B, CHICAGO, IL 60630-2338
(773) 202-5959
(773) 202-9144
Mailing address
PO BOX 7389, PROSPECT HEIGHTS, IL 60070-7389
(847) 870-3600
(847) 870-3500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036087838
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036087838
—
IL
Enumeration date
06/07/2006
Last updated
06/03/2014
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