Individual
DAVID G IACCINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
10661 S ROBERTS RD, SUITE 108, PALOS HILLS, IL 60465-1992
(708) 974-4380
(708) 974-4383
Mailing address
10661 S ROBERTS ROAD, SUITE 108, PALOS HILLS, IL 60465-1992
(708) 974-4380
(708) 974-4383
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016003882
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
480006875
RAILROAD MCR
—
01
—
60001580
BLUE CROSS BLUE SHIELD
IL
Enumeration date
09/13/2006
Last updated
10/30/2008
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