MEDICARE: DR. JOSEPH THOMAS MONACO M.D.

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	207X00000X	Orthopaedic Surgery Physician		IL

General Provider Information

NPI Number	:	1558398370
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSEPH THOMAS MONACO M.D.

Provider Business Mailing Address
First Line	:	16750 80TH AVE
Second Line	:	SUITE A
City	:	TINLEY PARK
State	:	IL
Zip	:	60477-3173
Country	:	US
Telephone Number	:	708-444-1880
Fax Number	:	708-444-1980

Provider Business Practice Location Address
First Line	:	16750 80TH AVE
Second Line	:	SUITE A
City	:	TINLEY PARK
State	:	IL
Zip	:	60477-3173
Country	:	US
Telephone Number	:	708-444-1880
Fax Number	:	708-444-1980

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

Provider Enumeration Date	:	06/27/2006
Last Update Date	:	07/08/2007

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