Individual
VINCENT MUSCARELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9921 SOUTHWEST HWY, OAK LAWN, IL 60453-3767
(708) 425-8616
(708) 425-9468
Mailing address
9921 SOUTHWEST HWY, OAK LAWN, IL 60453-3767
(708) 425-8616
(708) 425-9468
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
036068303
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036068303
—
IL
01
—
IL1223003
MEDICARE PTAN
—
Enumeration date
03/22/2006
Last updated
01/15/2009
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