Peter A Santucci MD

NPI 1295804789 - Internal Medicine - 207R00000X

NPI Details
NPI 1295804789
Gender Male
Enumeration Date 11/07/2006
Last Updated 03/04/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
2160 S FIRST AVE
(LUH-NORTH ENT., RM. 7604)
MAYWOOD IL, 60153, US
Phone (708) 216-8757
Fax (708) 216-1259
Business Location
2160 S FIRST AVE
(LUH-NORTH ENT., RM. 7604)
MAYWOOD IL, 60153, US
Phone (708) 216-8757
Fax (708) 216-1259
Toxanomy
Taxonomy Code 207R00000X
License State Illinois
License Number 036-081808
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According to our database, Peter A Santucci MD NPI is 1295804789, taxonomy code is 207R00000X and license number is 036-081808, license state is located at Illinois. Peter A Santucci MD physically located at 2160 S First Ave, Maywood IL, 60153. NPI Number Peter A Santucci MD has the Individual type.

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1295804789 NPI number is provided on an as is basis without warranty of any kind. 1295804789 is maintained by the National Plan & Provider Enumeration System. The contents of Peter A Santucci MD are for informational purposes only.