Individual
DR. JOHN T. GIRARDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2 S HOSPITAL DR, MURPHYSBORO, IL 62966
(618) 684-3156
Mailing address
1239 E MAIN ST, CARBONDALE, IL 62901-3175
(618) 457-5200
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036083489
IL
207R00000X
Internal Medicine Physician
0360834891
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0360834891
—
IL
01
—
21621833
BLUECROSS AND BLUESHIELD
IL
Enumeration date
07/14/2005
Last updated
09/15/2021
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