Individual
MARK ETTORE GIACOMI JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
23836 W 135TH ST, STE 103, PLAINFIELD, IL 60544-5620
(815) 254-2403
(815) 267-8380
Mailing address
23836 W 135TH ST, STE 103, PLAINFIELD, IL 60544-5620
(815) 254-2403
(815) 267-8380
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036126516
IL
Other
Enumeration date
07/18/2008
Last updated
03/16/2021
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