Individual provider · Type 1 NPI

Tomas Mauricio Prudencio

Surgery Physician · Chicago, IL

NPI number 1730980947 Active

Practice location

251 E Huron St
Chicago, IL 60611-2908

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician Primary 208600000X125.085227 (IL)

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

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About NPI 1730980947

Tomas Mauricio Prudencio's National Provider Identifier is 1730980947, issued on Mar 24, 2025. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Chicago, IL. The record was last updated on Jun 16, 2025.