Individual
JOSEPHINE MINNICINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
18408 GOVERNORS HWY, HOMEWOOD, IL 60430-2911
(708) 647-0571
(708) 647-0676
Mailing address
35318 EAGLE WAY, CHICAGO, IL 60678-1353
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036167133
IL
Other
Enumeration date
06/21/2021
Last updated
03/18/2025
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