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Individual

MR. JOSEPH THOMAS GIANNINI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ANP-BC

Contact information

Practice address
5758 S MARYLAND AVE, SUITE 3B, CHICAGO, IL 60637-1426
(773) 702-6732
Mailing address
11 W BIG SAND DR, SCHERERVILLE, IN 46375-4464
(219) 688-2573

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
209.009632
IL

Other

Enumeration date
10/19/2012
Last updated
10/19/2012
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