MEDICARE: JOSEPH A GIORDANO DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	036 058437	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1275520934
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEPH A GIORDANO DO

Provider Business Mailing Address
First Line	:	2007 95TH ST
Second Line	:	STE 105
City	:	NAPERVILLE
State	:	IL
Zip	:	60564-8459
Country	:	US
Telephone Number	:	630-646-6920
Fax Number	:	630-646-6925

Provider Business Practice Location Address
First Line	:	2007 95TH ST
Second Line	:	STE 105
City	:	NAPERVILLE
State	:	IL
Zip	:	60564-8459
Country	:	US
Telephone Number	:	630-646-6920
Fax Number	:	630-646-6925

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/28/2005
Last Update Date	:	01/28/2013

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