Individual
DR. DOMINIC J ALLOCCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
19001 OLD LAGRANGE RD, MOKENA, IL 60448-8012
(708) 478-4224
(708) 478-4033
Mailing address
19001 OLD LAGRANGE RD, MOKENA, IL 60448-8012
(708) 478-3600
(708) 478-3552
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036041838
IL
207RC0000X
Cardiovascular Disease Physician
Primary
036041838
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01621208
BLUECROSS BLUE SHIELD
IL
05
—
036041838
—
IL
01
—
060042334
RAILROAD MEDICARE COOK
IL
01
—
060053554
RAILROAD MEDICARE WILL
IL
01
—
1508810086
GROUP NPI
IL
01
—
236550
MEDICARE GROUP
IL
01
—
236551
MEDICARE GROUP
IL
01
—
CD8033
RAILROAD MEDICARE GROUPT PTAN
IL
01
—
CN2703
RAILROAD MEDICARE GROUP PTAN NUMBER
IL
Enumeration date
04/14/2006
Last updated
06/20/2008
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