Individual
DR. GIOVANNI M SALERNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
461 BROWN BLVD, BOURBONNAIS, IL 60914-2322
(715) 933-7900
(815) 933-7090
Mailing address
PO BOX 54, BOURBONNAIS, IL 60914-0054
(815) 933-7900
(815) 733-7090
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
036 093060
IL
208600000X
Surgery Physician
2009-01826
NC
208600000X
Surgery Physician
Primary
63861-20
WI
208600000X
Surgery Physician
A45217
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036093060
—
IL
01
—
04622763
BCBS
IL
01
—
P00188249
RAILROAD MEDICARE
IL
Enumeration date
06/10/2006
Last updated
12/14/2023
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