Provider Demographics
NPI:1033171285
Name:SCIANNA, JOSEPH M (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:M
Last Name:SCIANNA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2127 MIDLANDS CT
Mailing Address - Street 2:SUITE203
Mailing Address - City:SYCAMORE
Mailing Address - State:IL
Mailing Address - Zip Code:60178-3173
Mailing Address - Country:US
Mailing Address - Phone:815-758-8106
Mailing Address - Fax:815-758-8108
Practice Address - Street 1:2127 MIDLANDS CT
Practice Address - Street 2:SUITE200
Practice Address - City:SYCAMORE
Practice Address - State:IL
Practice Address - Zip Code:60178-3173
Practice Address - Country:US
Practice Address - Phone:815-758-8106
Practice Address - Fax:815-758-8108
Is Sole Proprietor?:No
Enumeration Date:2006-04-04
Last Update Date:2018-12-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL036110856207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology