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NPI Code Detail

MEDICARE: DR. DAVID M GARAGIOLA M.D.

MEDICARE: DR. DAVID M GARAGIOLA 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
12085R0202XDiagnostic Radiology PhysicianIL

General Provider Information

NPI Number : 1760495774
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID M GARAGIOLA M.D.
Provider Business Mailing Address
First Line : 14 TODOR CT
Second Line :
City : BURR RIDGE
State : IL
Zip : 60527-8390
Country : US
Telephone Number : 630-654-0693
Fax Number : 708-923-3611
Provider Business Practice Location Address
First Line : 11800 SOUTHWEST HWY
Second Line :
City : PALOS HEIGHTS
State : IL
Zip : 60463-1029
Country : US
Telephone Number : 708-361-0220
Fax Number : 708-923-3611
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/14/2006
Last Update Date : 09/04/2007

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