Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Keith Muccino, MD

Individual provider Internal Medicine Physician · NPI 1861468357

Keith Muccino, MD is an Internal Medicine Physician in Maywood, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2160 S 1st Ave (luh - North ENT Rm 7604)
Maywood, IL 60153-3328
Phone: (708) 216-8757
Fax: (708) 216-1259
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 36112339 (IL)

Record details

NPI number1861468357
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 24, 2006
Last updated in NPPESJanuary 8, 2010
Mailing address2160 S 1st Ave, Luh - North Ent., Rm. 7604), Maywood, IL 60153-3328

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