Provider Demographics
NPI:1780642736
Name:GIGANTE, JOSEPH D (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:D
Last Name:GIGANTE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7734 W NORTH AVE
Mailing Address - Street 2:
Mailing Address - City:ELMWOOD PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60707-4124
Mailing Address - Country:US
Mailing Address - Phone:708-660-3900
Mailing Address - Fax:708-452-8486
Practice Address - Street 1:7912 W COUNTRY CLUB LN
Practice Address - Street 2:
Practice Address - City:ELMWOOD PARK
Practice Address - State:IL
Practice Address - Zip Code:60707-3532
Practice Address - Country:US
Practice Address - Phone:708-660-3900
Practice Address - Fax:708-452-8486
Is Sole Proprietor?:No
Enumeration Date:2006-05-01
Last Update Date:2018-12-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL036052264207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036052264Medicaid
IL036052264Medicaid