Joseph John Divincenzo in Maywood - Psychiatry
Joseph John Divincenzo - NPI 1740201425
Joseph John Divincenzo is a Psychiatry in Maywood, Illinois. Joseph John Divincenzo practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Joseph John Divincenzo is 1740201425. The last update date is 2023-10-11.
Joseph John Divincenzo's current location address is 2160 S 1st Ave, Maywood, Illinois. You can contact this provider via phone number 7082169000. The mailing address for Joseph John Divincenzo is 2160 S 1st Ave, Maywood, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Joseph John Divincenzo |
|---|---|
| Address | 2160 S 1st Ave, Maywood, Illinois |
| Phone Number | 7082169000 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1740201425 |
|---|---|
| Provider Enumeration Date | 2006-07-21 |
| Last Updated Date | 2023-10-11 |
Provider Mailing Address Detail
| Address | 2160 S 1st Ave |
|---|---|
| City | Maywood |
| State | Illinois (IL) |
| Post Code | 601533328 |
| Phone Number | 7082169000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | 36158645 |
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Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 01672830R | PA | -- |
Post Comment/ Review Below
What is the Joseph John Divincenzo's 1740201425?
The Joseph John Divincenzo's NPI (National Provider Identifier) Number is 1740201425. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Joseph John Divincenzo is located?
The Joseph John Divincenzo is situated at the following address: 2160 S 1St Ave, Maywood, IL, 601533328.
What is Joseph John Divincenzo's area of expertise and its corresponding taxonomy classification?
The Joseph John Divincenzo's field of specialization is Psychiatry, and it falls under the taxonomy code 2084P0800X, which categorizes healthcare providers based on their areas of practice.
On what date did the Joseph John Divincenzo receive the assignment of its 1740201425 from the Centers for Medicare & Medicaid Services?
The Joseph John Divincenzo was issued its 1740201425 by the Centers for Medicare & Medicaid Services on 2006-07-21.
As of what date were the Joseph John Divincenzo's details last updated?
The information pertaining to the Joseph John Divincenzo, including its address, specialty, and other details, was most recently updated on 2023-10-11.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY