Organization · Type 2 NPI
Hermosa Medical & Diagnostic Center Inc
General Practice Physician · Chicago, IL
NPI number
1962615674
Active
Practice location
2004 N. Pulaski Rd
Chicago, IL 60639-3767
Fax (773) 252-3091
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | None listed |
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 1962615674
Hermosa Medical & Diagnostic Center Inc's National Provider Identifier is 1962615674, issued on May 8, 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 Jun 14, 2016.