Carmelo Antonio Saraceno
Otolaryngologist (ENT Doctor) Facial Plastic Surgeon
2601 W Main St
Carbondale
, Illinois 62901-1031
Carmelo Antonio Saraceno
Otolaryngologist (ENT Doctor) Facial Plastic Surgeon
2601 W Main St
Carbondale
, Illinois 62901-1031
(618) 549-5128
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About
Features
Specialties
- Otolaryngologist (ENT Doctor)
- Facial Plastic Surgeon
Languages spoken
- English
Location
First Address
- Carmelo Antonio Saraceno
- 2601 W Main St
- Carbondale, IL
- Zip : 62901-1031
- Fax : (618) 549-5128
- Phone : (618) 549-5361
Second Address
- Carmelo Antonio Saraceno
- 2601 W Main St
- Carbondale, IL
- Zip : 62901-1031
- Fax : (618) 549-5128
- Phone : (618) 549-5361
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 036137891 | IL |
| N | 207YS0123X | Facial Plastic Surgeon | ME30412 | FL |
National Provider Identifier
| NPI | 1154563708 |
|---|---|
| Provider Name | Carmelo Antonio Saraceno |
| First Address | Carbondale, IL 62901-1031 |
| Second Address | Carbondale, IL 62901-1031 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/03/2009 |
| Last Update Date | 16/01/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0394823-00 | (05) | FL |
| 214881 | MEDICARE GROUP PTAN (01) | IL |
| 29997 | (02) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.