MEDICARE: DR. JASON JAMES GIULIANO DMD

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	122300000X	Dentist	019.036150	IL

General Provider Information

NPI Number	:	1891681276
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JASON JAMES GIULIANO DMD

Provider Business Mailing Address
First Line	:	18114 GOTTSCHALK AVE
Second Line	:
City	:	HOMEWOOD
State	:	IL
Zip	:	60430-2208
Country	:	US
Telephone Number	:	708-799-5353
Fax Number	:

Provider Business Practice Location Address
First Line	:	124 E PALATINE RD
Second Line	:
City	:	PALATINE
State	:	IL
Zip	:	60067-5110
Country	:	US
Telephone Number	:	847-358-4090
Fax Number	:

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

Provider Enumeration Date	:	06/13/2025
Last Update Date	:	12/02/2025

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