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KEITH MUCCINO MD
NPI 1861468357
Internal Medicine in Maywood, IL

Active since February 24, 2006
2160 S 1ST AVE, (LUH - NORTH ENT., RM. 7604), MAYWOOD, IL 60153(708) 216-8757(708) 216-1259 Get Directions Write a Review

NPPES record last updated: January 8, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Keith Muccino Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEITH MUCCINO MD (NPI 1861468357) is an individual internal medicine provider in Maywood, Illinois, licensed in Illinois (36112339) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1861468357
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameKEITH MUCCINOCredential: MD
Location Address2160 S 1ST AVE, (LUH - NORTH ENT., RM. 7604)Maywood, IL 60153-3328
Mailing Address2160 S 1st Ave, (luh - North Ent., Rm. 7604)Maywood, IL 60153-3328 · (708) 216-8757 · Fax (708) 216-1259
Phone(708) 216-8757
Fax(708) 216-1259
Sole ProprietorNo
Enumeration DateFebruary 24, 2006
Last NPPES UpdateJanuary 8, 2010
✔ NPI 1861468357 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IL · 36112339
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2160 S 1ST AVE, Maywood, IL 60153
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Other Identifiers 4

Medicare ID-Type UnspecifiedK12110IL
Medicaid36112339IL
Medicare UPINE82320
OtherK12111IL · Medicare

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANITA OZA NAGAMINE M.D.
Radiology (Diagnostic Radiology)
2160 S 1ST AVE
MAYWOOD, IL 60153
Cook County (708) 216-9000
DR. BRYCE ANDREW PASCHOLD D.P.M.
Podiatrist (Foot & Ankle Surgery)
2160 S 1ST AVE
MAYWOOD, IL 60153
Cook County (708) 216-4254
DR. ANTONIO HERNANDO IGLESIAS M.D.
Psychiatry & Neurology (Neurology)
2160 S 1ST AVE
MAYWOOD, IL 60153
Cook County (708) 216-9000
IAN CHARLES MCCOMB
Oral & Maxillofacial Surgery
2160 S 1ST AVE
MAYWOOD, IL 60153
Cook County (708) 216-9000
JAMES WU D.O.
Psychiatry & Neurology (Psychiatry)
2160 S 1ST AVE
MAYWOOD, IL 60153
Cook County (708) 216-9000
PAIGE T SONG MD
Student in an Organized Health Care Education/Training Program
2160 S 1ST AVE
MAYWOOD, IL 60153
Cook County (888) 584-7888
ELIZABETH CHO
Orthopaedic Surgery
2160 S 1ST AVE
MAYWOOD, IL 60153
Cook County (708) 216-1274
DR. CATHRYN T SAWALSKI DO, MBA
Internal Medicine
2160 S 1ST AVE
MAYWOOD, IL 60153
Cook County (888) 584-7888

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keith Muccino's NPI number?

The NPI number for Keith Muccino is 1861468357. It was assigned to this individual provider in the NPPES registry on February 24, 2006.

Where is Keith Muccino located?

Keith Muccino practices at 2160 S 1st Ave (luh - North Ent., Rm. 7604), Maywood, IL 60153. The listed phone number is (708) 216-8757.

What is Keith Muccino's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Keith Muccino was last updated on January 8, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.