Organization · Type 2 NPI
Clinica Guadalupe PC
General Practice Physician · Chicago, IL
NPI number
1336363563
Active
Practice location
3511 W 26th St
Chicago, IL 60623-3910
Fax (773) 277-0860
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 036068407 (IL) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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About NPI 1336363563
Clinica Guadalupe PC's National Provider Identifier is 1336363563, issued on Apr 12, 2007. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Chicago, IL. The record was last updated on Jan 15, 2010.