SearchIllinois207WX0107X

Joseph Civantos, MD

NPI 1336149053 · on the registry since 2005

Practice

Address
71 W 156th St
Suite 400
Harvey, IL 60426
Phone
(708) 596-8710
Fax
(708) 596-9820
Organisation at this address
Scottlab, Ltd.
Scottlab, Ltd.
Medcentrix Inc
Medcentrix Inc
Sas Surgical Ltd.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
53

Registry record

Primary taxonomy
207WX0107X
207WX0107X
Also registered as
207W00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-02-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois