Provider Demographics
NPI:1497825616
Name:CURCIO, GIOVANNI (MD)
Entity Type:Individual
Prefix:
First Name:GIOVANNI
Middle Name:
Last Name:CURCIO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:396 REMINGTON BLVD
Mailing Address - Street 2:SUITE 230
Mailing Address - City:BOLINGBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60440-4302
Mailing Address - Country:US
Mailing Address - Phone:630-378-1344
Mailing Address - Fax:630-963-5326
Practice Address - Street 1:396 REMINGTON BLVD
Practice Address - Street 2:SUITE 230
Practice Address - City:BOLINGBROOK
Practice Address - State:IL
Practice Address - Zip Code:60440-4302
Practice Address - Country:US
Practice Address - Phone:630-378-1344
Practice Address - Fax:630-963-5326
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2013-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036062959207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL2201686OtherBCBS IL
036062959OtherSTATE OF ILLINOIS LICENSE
IL036062959Medicaid
IL399980OtherGROUP PTAN
036062959OtherSTATE OF ILLINOIS LICENSE
IL399980OtherGROUP PTAN