Individual provider · Type 1 NPI

Jose L. Medina, MD

Specialist · Chicago, IL

NPI number 1679673214 Active

Practice location

5015 N Paulina St, Suite 325
Chicago, IL 60640-2756

Call (773) 775-7540 Map

Fax (773) 763-9792

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1679673214

Jose L. Medina, MD's National Provider Identifier is 1679673214, issued on Sep 24, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Chicago, IL. The record was last updated on Jul 8, 2007.