Organization
JOHN G SCARAMELLA MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN G SCARAMELLA M.D. (OWNER)
(773) 202-5959
Entity
Organization
Contact information
Practice address
4920 N CENTRAL AVE, SUITE 2B, CHICAGO, IL 60630-2338
(773) 202-5959
(773) 202-9144
Mailing address
PO BOX 7389, PROSPECT HEIGHTS, IL 60070-7389
(773) 202-5959
(773) 202-9144
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036087838
—
IL
Enumeration date
10/05/2007
Last updated
11/13/2025
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