Provider Demographics
NPI:1760992739
Name:DI COCCO, PIERPAOLO (MD)
Entity Type:Individual
Prefix:
First Name:PIERPAOLO
Middle Name:
Last Name:DI COCCO
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 1:4041 N KEYSTONE AVE APT A
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60641-5556
Mailing Address - Country:US
Mailing Address - Phone:312-316-2601
Mailing Address - Fax:
Practice Address - Street 1:4041 N KEYSTONE AVE APT A
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60641-5556
Practice Address - Country:US
Practice Address - Phone:312-316-2601
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-04
Last Update Date:2017-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL125071492204F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204F00000XAllopathic & Osteopathic PhysiciansTransplant Surgery