J L GIACCHINO/S D DEMOREST MD ASSC

MELROSE PARK, IL
NPI1285823237
Entity TypeOrganization
Authorized ContactJOSEPH L GIACCHINO
Owner
708-343-2500
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2007-10-16
Last Update Date2008-06-18
Business Address
J L GIACCHINO/S D DEMOREST MD ASSC
1252 WINSTON PLAZA
MELROSE PARK, IL 60160-1507
Phone number: 708-343-2500
Mailing Address
J L GIACCHINO/S D DEMOREST MD ASSC
8383 W BELMONT AVE SUITE 307
RIVER GROVE, IL 60171
Phone number: 708-453-1325