Individual provider · Type 1 NPI

Joseph M. Civantos, MD

Retina Specialist (Ophthalmology) Physician · Harvey, IL

NPI number 1336149053 Active

Practice location

71 W 156th St, Suite 400
Harvey, IL 60426-4265

Fax (708) 596-9820

Mailing address

11516 183rd Pl Ste SW
Orland Park, IL 60467-9471

Specialties and licenses

TaxonomyCodeLicense
Ophthalmology Physician 207W00000X036086038 (IL)
Retina Specialist (Ophthalmology) Physician Primary 207WX0107X036086038 (IL)

Retina Specialist (Ophthalmology) Physician: An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.

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About NPI 1336149053

Joseph M. Civantos, MD's National Provider Identifier is 1336149053, issued on Jul 22, 2005. The primary taxonomy on file is Retina Specialist (Ophthalmology) Physician (207WX0107X), and the practice location is in Harvey, IL. The record was last updated on Feb 4, 2022.