Individual
DR. HENRY GIACINTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
701 W NORTH AVE, MELROSE PARK, IL 60160-1612
(708) 681-3200
(708) 681-5228
Mailing address
9977 WOODS DR STE 100, SKOKIE, IL 60077-1057
(224) 364-2273
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036076936
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01623845
BLUE CROSS & BLUE SHIELD
IL
05
—
036076936
—
IL
Enumeration date
11/07/2006
Last updated
08/18/2021
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