Individual
GIOVANNI DAVID GIANNOTTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5140 N CALIFORNIA AVE, SUITE 780, CHICAGO, IL 60625-3645
(773) 273-6810
(773) 273-5532
Mailing address
2222 W DIVISION ST, STE 335, CHICAGO, IL 60622-2995
(773) 273-6810
(773) 273-5532
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036098872
IL
2086X0206X
Surgical Oncology Physician
036098872
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001630046
BCBS OF IL GROUP NUMBER
IL
05
—
036098872 2
—
IL
05
—
036098872 3
—
IL
Enumeration date
08/11/2006
Last updated
08/17/2020
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