MEDICARE: JOHN D SCALA MD PC

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	208000000X	Pediatrics Physician		IL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	DC7531	OTHER	IL	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	03232018	OTHER	IL	BCBS PROVIDER ID

General Provider Information

NPI Number	:	1487729430
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOHN D SCALA MD PC

Provider Business Mailing Address
First Line	:	PO BOX 829
Second Line	:
City	:	MORRIS
State	:	IL
Zip	:	60450-0829
Country	:	US
Telephone Number	:	815-634-4099
Fax Number	:	815-634-4052

Provider Business Practice Location Address
First Line	:	460 N BROADWAY ST
Second Line	:
City	:	COAL CITY
State	:	IL
Zip	:	60416-1045
Country	:	US
Telephone Number	:	815-634-4099
Fax Number	:	815-634-4052

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JOHN D SCALA
Credential	:	MD
Telephone Number	:	815-634-4099

Provider Enumeration Date	:	11/22/2006
Last Update Date	:	01/18/2008

Similar Medicare Providers

1467487975 — DR. ROMAN M SMYK MD
Practice Location Address:

460 N BROADWAY ST
COAL CITY, IL
60416-1045

Practice Phone: 815-634-2592
Practice Fax: 815-634-4052

1144471772 — SPYRO D. ANALYTIS, MDPC
Practice Location Address:

460 N BROADWAY ST
COAL CITY, IL
60416-1045

Practice Phone: 815-634-8030
Practice Fax: 815-634-4052

1871347930 — AUTHENTIC COUNSELING AND THERAPY, PLLC
Practice Location Address:

1045 FERRARI DR
COAL CITY, IL
60416-1843

Practice Phone: 815-735-9108
Practice Fax:

1467454587 — DR. JULI WEBER MICETICH D.C.
Practice Location Address:

24 E NORTH ST
COAL CITY, IL
60416-1087

Practice Phone: 815-634-0445
Practice Fax:

1649274366 — PATRICIA HELEN SIMPSON O. D.
Practice Location Address:

20 E NORTH ST
COAL CITY, IL
60416-1087

Practice Phone: 815-634-4825
Practice Fax: 815-634-4938

1740273754 — DR. JONATHAN EDWARD MICETICH O.D.
Practice Location Address:

20 E NORTH STREET
COAL CITY, IL
60416-1087

Practice Phone: 815-634-4825
Practice Fax: 815-634-4938

Directions to “JOHN D SCALA MD PC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.