Provider Demographics
NPI:1205102209
Name:FALCONE, JAMES CARLO (MD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:CARLO
Last Name:FALCONE
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:PO BOX 607
Mailing Address - Street 2:
Mailing Address - City:HINSDALE
Mailing Address - State:IL
Mailing Address - Zip Code:60522-0607
Mailing Address - Country:US
Mailing Address - Phone:630-205-2482
Mailing Address - Fax:630-920-1048
Practice Address - Street 1:718 N YORK RD
Practice Address - Street 2:
Practice Address - City:HINSDALE
Practice Address - State:IL
Practice Address - Zip Code:60521-3535
Practice Address - Country:US
Practice Address - Phone:630-205-2482
Practice Address - Fax:630-920-1048
Is Sole Proprietor?:No
Enumeration Date:2012-03-24
Last Update Date:2012-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036044583207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
D10190Medicare UPIN
244530Medicare PIN