IndividualActive
Joseph Civantos, MD
NPI 1336149053 · Retina Specialist (Ophthalmology) Physician · Harvey, IL
Provider details
- NPI number
- 1336149053
- Entity type
- Individual
- Primary specialty
- Retina Specialist (Ophthalmology) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 036086038 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
71 W 156th St
Suite 400
Harvey, IL 60426-4265
Phone: (708) 596-8710
Fax: (708) 596-9820
Approximate (ZIP-level) locationGet directions
Mailing address
11516 183rd Pl Ste Sw
Orland Park, IL 60467-9471
Registry dates
- Enumerated
- 2005-07-22
- Last updated
- 2022-02-04
- Certified
- 2022-02-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.