Provider Demographics
NPI:1275836728
Name:JOSEPH B. PIGATO, LTD
Entity Type:Organization
Organization Name:JOSEPH B. PIGATO, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:BENEDICT
Authorized Official - Last Name:PIGATO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:815-937-2122
Mailing Address - Street 1:455 W COURT ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:KANKAKEE
Mailing Address - State:IL
Mailing Address - Zip Code:60901-3679
Mailing Address - Country:US
Mailing Address - Phone:815-937-2122
Mailing Address - Fax:815-937-2102
Practice Address - Street 1:455 W COURT ST
Practice Address - Street 2:SUITE 201
Practice Address - City:KANKAKEE
Practice Address - State:IL
Practice Address - Zip Code:60901-3679
Practice Address - Country:US
Practice Address - Phone:815-937-2122
Practice Address - Fax:815-937-2102
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-06
Last Update Date:2013-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036102864208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty