Organization
MELROSE PARK CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH L GACCLUNO JR. MD (ADMINISTRATOR OWNER)
(708) 343-2500
Entity
Organization
Contact information
Practice address
1252 WINSTON PLAZA, MELROSE PARK, IL 60160
(708) 343-2500
(708) 343-9545
Mailing address
1252 WINSTON PLAZA, MELROSE PARK, IL 60160
(708) 343-2500
(708) 343-9545
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
02/07/2007
Last updated
08/22/2020
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