Individual provider · Type 1 NPI

Carla Formoso Pico, MD

Obstetrics & Gynecology Physician · Chicago, IL

NPI number 1104563022 Active

Practice location

2355 S Western Ave
Chicago, IL 60608-3837

Call (773) 254-1400 Map

Specialties and licenses

TaxonomyCodeLicense
Obstetrics & Gynecology Physician Primary 207V00000X036.181971 (IL)

Obstetrics & Gynecology Physician: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

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About NPI 1104563022

Carla Formoso Pico, MD's National Provider Identifier is 1104563022, issued on May 13, 2022. The primary taxonomy on file is Obstetrics & Gynecology Physician (207V00000X), and the practice location is in Chicago, IL. The record was last updated on Sep 16, 2026.