Individual
DR. JOHN MASSIMILIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1201 S MAIN ST, DEPT: ED, CROWN POINT, IN 46307-8481
(219) 757-6310
(219) 757-6312
Mailing address
211 DEVON DR, BURR RIDGE, IL 60527-8309
(630) 655-1055
(630) 655-8966
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
02001829A
IN
207P00000X
Emergency Medicine Physician
—
IL
Other
Enumeration date
04/26/2006
Last updated
07/08/2007
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