Organization
ITALO D. PIERI, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ITALO D. PIERI M.D. (OWNER)
(773) 763-3808
Entity
Organization
Contact information
Practice address
7447 W TALCOTT AVE, SUITE 415, CHICAGO, IL 60631-3745
(773) 763-3808
(773) 774-5739
Mailing address
7447 W TALCOTT AVE, SUITE 415, CHICAGO, IL 60631-3745
(773) 763-3808
(773) 774-5739
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
036058671
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036058671
—
IL
Enumeration date
05/14/2008
Last updated
05/14/2008
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