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

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XNone 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.