Individual
DR. DOMINIC GAZIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2222 W DIVISION ST, STE 320, CHICAGO, IL 60622-2717
(773) 342-1212
Mailing address
2222 W DIVISION ST STE 110, CHICAGO, IL 60622-3093
(773) 252-4848
(773) 252-8484
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
36091770
IL
Other
Enumeration date
12/27/2006
Last updated
07/19/2019
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