Provider Demographics
NPI:1295096733
Name:PUCCI, FRANCESCO GIOVANNI (MD)
Entity type:Individual
Prefix:
First Name:FRANCESCO
Middle Name:GIOVANNI
Last Name:PUCCI
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 1:12479 CEDAR RD APT 104
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44106-5211
Mailing Address - Country:US
Mailing Address - Phone:216-444-2000
Mailing Address - Fax:
Practice Address - Street 1:1801 W TAYLOR ST STE 4E
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60612-4795
Practice Address - Country:US
Practice Address - Phone:312-355-0510
Practice Address - Fax:312-413-7704
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-31
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.137483207T00000X
IL036161996207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery