Organization
GIOVANNI SALERNO MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GIOVANNI SALERNO MD (PRESIDENT)
(815) 933-7900
Entity
Organization
Contact information
Practice address
461 BROWN BLVD, BOURBONNAIS, IL 60914-2322
(815) 933-7900
(815) 933-7090
Mailing address
461 BROWN BLVD, BOURBONNAIS, IL 60914-2322
(815) 933-7900
(815) 933-7090
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04622763
BCBS
IL
01
—
14D0918525
CLIA
IL
01
—
DC7518
RAILROAD MEDICARE GROUP
IL
Enumeration date
07/06/2006
Last updated
08/23/2010
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