JOSEPH L GIACCHINO JR. (NPI# 1306901400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306901400 |
| Entity Type | Individual |
| Full Name | JOSEPH L GIACCHINO JR. |
| Credential | MD |
| Practice Address |
1252 Winston Plaza Melrose Park IL 60160 |
| Practice Telephone | 7083432500 |
| Practice Fax Number | 7083439545 |
| Mailing Telephone | 7083432500 |
| Mailing Fax Number | 7083439545 |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2008-06-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 036050366 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE CROSS BLUE SHIELD | 16172816 | 01 |
| IL | MEDICARE | 738410 | 01 |
| IL | 036050366 | 05 |
| Street Address |
1252 WINSTON PLAZA |
| City | MELROSE PARK |
| State | IL |
| Zip Code | 60160 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285823237 | J L Giacchino/s D Demorest Md Assc | Family Medicine | 1252 Winston Plaza, Melrose Park, IL 60160-1507 | 2007-10-16 |
| 1972644177 | Claudia Maria Dado | Dentist | 1252 Winston Plaza, Melrose Park, IL 60160 | 2007-02-09 |
| 1578603023 | Melrose Park Clinic | Family Medicine | 1252 Winston Plaza, Melrose Park, IL 60160 | 2007-02-07 |
| 1427113679 | Melrose Park Clinic Ltd. | Family Medicine | 1252 Winston Plaza, Melrose Park, IL 60160 | 2006-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295217651 | Kairsten Thies | Registered Nurse | 1225 W. Lake St., Melrose Park, IL 60160 | 2018-09-02 |
| 1780195701 | Julia Mccann-khludenev | Nurse Practitioner | 153 1/2 Broadway Ave., Melrose Park, IL 60160 | 2017-10-17 |
| 1629595749 | Katarzyna Teresa Buksa | Speech-Language Pathologist | 906 Walton St., Melrose Park, IL 60160 | 2017-08-29 |
| 1972955102 | Erika Lazaro | Counselor | 1414 Main Street, Melrose Park, IL 60160 | 2016-07-12 |
| 1811344096 | Margaret Ann Kress | Nurse Practitioner | 675 W North Ave Ste 402, Melrose Park, IL 60160 | 2016-05-18 |
| 1942578703 | Rachna Shah Md Sc | Internal Medicine | 675 West North Ave, #310, Melrose Park, IL 60160 | 2011-12-08 |
| 1033486741 | Stephanie Lamonica | Pharmacist | 850 West North Ave, T0837, Melrose Park, IL 60160 | 2011-11-23 |
| 1285913384 | Melinda Vazquez | Social Worker | 1414 Main, Melrose Park, IL 60160 | 2011-08-08 |
| 1629373212 | Advanced Wellness Clinics | Internal Medicine | 1835 N Broadway Avenue, Suite 104, Melrose Park, IL 60160 | 2011-01-13 |
| 1508188525 | Guillermo Fernando Mora | Family Medicine | 1111 W Superior, Suite #306, Melrose Park, IL 60160 | 2010-02-17 |
| Find all providers in zip 60160 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568027456 | Vital Signs Management LLC | Family Medicine | 2225 W North Ave Ste 1, Melrose Park, IL 60160-1107 | 2019-05-06 |
| 1508188525 | Guillermo Fernando Mora | Family Medicine | 1111 W Superior, Suite #306, Melrose Park, IL 60160 | 2010-02-17 |
| 1346414307 | Naaz Fatima Aziz | Family Medicine | 675 W North Ave Ste 414, Melrose Park, IL 60160-1626 | 2008-04-21 |
| 1043355670 | Roya Family Medical Center Ltd | Family Medicine | 714 N Broadway Ave., Melrose Park, IL 60160 | 2007-02-21 |
| 1477604791 | Michelle J Alexandre | Family Medicine | 808 Broadway St, Melrose Park, IL 60160-3744 | 2007-01-15 |
| 1417063249 | Melrose Medical Associates PC | Family Medicine | 921 W Cheltenham Avenue, Melrose Park, PA 19027 | 2006-08-22 |
| 1073511143 | Yolanda Cardenas | Family Medicine | 1111 Superior St Ste 101, Melrose Park, IL 60160-4100 | 2005-07-12 |
| 1760027999 | Nayely Gomez | Family Medicine | 153 1/2 N 19th Ave, Melrose Park, IL 60160 | 2019-11-12 |
| 1811334626 | Yesenia Arce | Family Medicine | 1111 Superior St Ste 101, Melrose Park, IL 60160-4100 | 2013-06-03 |
| 1649578238 | Reynaldo M. Caluag Md Sc | Family Medicine | 1111 Superior St, Suite 411, Melrose Park, IL 60160-4138 | 2011-03-04 |
| Find all providers in MELROSE PARK | ||||
| City | MELROSE PARK |
| Zip Code | 60160 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.