Individual
JOSEPH GIANCARLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
114 BARNEY DR, JOLIET, IL 60435-6404
(708) 743-7136
Mailing address
18539 ZURICH LN, TINLEY PARK, IL 60477-4406
(708) 743-7136
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036.139846
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
OH
Other
Enumeration date
03/29/2013
Last updated
06/23/2016
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