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Individual

JOHN THOMAS GIANNONE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
333 E US ROUTE 6, MORRIS, IL 60450-8920
(815) 942-5918
(815) 942-4794
Mailing address
333 E US ROUTE 6, MORRIS, IL 60450-8920
(815) 942-5918
(815) 942-4794

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046-0006846
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
046006846
IL
Enumeration date
05/17/2006
Last updated
07/07/2008
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