Individual
DR. SEBASTIAN JAMES CIANCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
707 N LOGAN AVE, DANVILLE, IL 61832-4360
(217) 477-4766
(217) 477-4752
Mailing address
707 N LOGAN AVE, DANVILLE, IL 61832-4360
(217) 477-4766
(217) 477-4752
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
036-116977
IL
208800000X
Urology Physician
ME82330
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036116977
—
IL
05
—
2008515830A
—
IN
01
—
292136
PERSONAL CARE COVENTRY
IL
01
—
771911
HEALTHLINK
—
Enumeration date
09/20/2006
Last updated
01/12/2015
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