Organization · Type 2 NPI
Manuel Burciaga Martinez M.d.s.c.
Clinic/Center · Chicago, IL
NPI number
1679649503
Active
Practice location
4006 West 26th Street
Chicago, IL 60623
Fax (773) 762-2026
Mailing address
4006 W 26th Street
Chicago, IL 60623
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | None listed |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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About NPI 1679649503
Manuel Burciaga Martinez M.d.s.c.'s National Provider Identifier is 1679649503, issued on Nov 24, 2006. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Chicago, IL. The record was last updated on Aug 22, 2020.