Organization
JOHN D SCALA MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN D SCALA MD (PRESIDENT)
(815) 634-4099
Entity
Organization
Contact information
Practice address
460 N BROADWAY ST, COAL CITY, IL 60416-1045
(815) 634-4099
(815) 634-4052
Mailing address
PO BOX 829, MORRIS, IL 60450-0829
(815) 634-4099
(815) 634-4052
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03232018
BCBS PROVIDER ID
IL
01
—
DC7531
RAILROAD MEDICARE
IL
Enumeration date
11/22/2006
Last updated
01/18/2008
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