NPI 1336149053

Joseph M Civantos, MD

Practitioner Retina Specialist (Ophthalmology) Physician Harvey, IL

Practice location

Address: 71 W 156th St Suite 400, Harvey, IL 60426-4265
Phone: (708) 596-8710
Fax: (708) 596-9820
Mailing address: 11516 183rd Pl STE SW, Orland Park, IL 60467-9471

Registered specialties (2)

Retina Specialist (Ophthalmology) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207WX0107X Licence 036086038 (IL)

Other Ophthalmology providers in Illinois →

Ophthalmology Physician

Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence 036086038 (IL)

Registry record

NPI: 1336149053
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Jul 2005
Record last updated: 4 Feb 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.