Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARIO GERARD MASSULLO, D.O.
Active Sole ProprietorMARIO GERARD MASSULLO, D.O. is a Cardiovascular Disease healthcare provider located in KANKAKEE, Illinois. NPI 1043228158 is currently active in the NPPES registry. Verify at CMS.
Cardiovascular Disease · KANKAKEE, IL
Registration Details
- NPI Number
- 1043228158
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 4, 2006 (19.881190297672 yrs)
- Last Updated
- Oct 27, 2021
- Licenses
-
036082059 (IL)036082059 (IL)036082059 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1710 W. COURT ST.KANKAKEE, IL, 60901Browse IL providers · Browse ZIP 60901
- Phone
- 8159363200
- Fax
- 8159363203
- Primary Specialty
-
Cardiovascular Disease
207RC0000X
- Additional Specialty
- Hospice and Palliative Medicine
- Additional Specialty
- Cardiovascular Disease
Other Cardiovascular Disease Providers in KANKAKEE, IL
| Name | Credential | NPI |
|---|---|---|
| DR. LYNN G BROWN | MD | 1013962182 |
| DR. PHILIP G HAYS | M.D | 1275540536 |
| VIKAS K. PATEL | MD | 1235349598 |
| DR. NHA T HUYNH | DO | 1376709758 |
| GAURANG GUJARATHI | DO | 1124314349 |
| SEBAN LIU | D.O. | 1174904304 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.