Provider Demographics
NPI:1538238019
Name:TONINO, PIETRO M (MD)
Entity type:Individual
Prefix:
First Name:PIETRO
Middle Name:M
Last Name:TONINO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2160 S FIRST AVE
Mailing Address - Street 2:(MAGUIRE CENTER, RM. 1700)
Mailing Address - City:MAYWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60153
Mailing Address - Country:US
Mailing Address - Phone:708-216-3280
Mailing Address - Fax:708-216-5858
Practice Address - Street 1:2160 S FIRST AVE
Practice Address - Street 2:(MAGUIRE CENTER, RM. 1700)
Practice Address - City:MAYWOOD
Practice Address - State:IL
Practice Address - Zip Code:60153
Practice Address - Country:US
Practice Address - Phone:708-216-3280
Practice Address - Fax:708-216-5858
Is Sole Proprietor?:No
Enumeration Date:2006-11-07
Last Update Date:2021-05-04
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Provider Licenses
StateLicense IDTaxonomies
IL036066004207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
C41858Medicare UPIN