Individual
JOHN M SANTANIELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4440 W 95TH ST STE 183, OAK LAWN, IL 60453-2600
(708) 684-4393
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
(847) 390-4757
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
01079567A
IN
208600000X
Surgery Physician
Primary
036097129
IL
2086S0102X
Surgical Critical Care Physician
036097129
IL
Other
Enumeration date
02/26/2007
Last updated
05/13/2025
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