institution
Gustavo A . Pedraza M.d., Ltd
Primary Care Clinic/Center in Channahon, Illinois
NPI 1134451594

Gustavo A . Pedraza M.d., Ltd is a Primary Care Clinic/Center based in Channahon, IL and is specialized in Primary Care. Gustavo A . Pedraza M.d., Ltd practices in Channahon, IL. The NPI Number for Gustavo A . Pedraza M.d., Ltd is 1134451594 and holds a License No. 036076520 (Illinois).

The current practice location address for Gustavo A . Pedraza M.d., Ltd is 23952 S Northern Illinois Dr, Channahon, IL and can be reached out via phone at 815-467-4114 and via fax at 815-467-1774.

Location: 23952 S Northern Illinois Dr, Channahon, IL, 60410-5184
institution
Provider Profile Details
NPI Number
1134451594
Provider Name
Gustavo A . Pedraza M.d., Ltd
Credential
Provider Entity Type
Organization
Address
23952 S Northern Illinois Dr, Channahon, IL, 60410-5184
Phone Number
815-467-4114
Fax Number
815-467-1774
Provider Enumeration Date
02/09/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
982330 01 IL MEDICARE I.D. NUMBER
institution
Provider Business Practice Location Address Details
Address
23952 S Northern Illinois Dr
City
State
Zip
60410-5184
Phone Number
815-467-4114
Fax Number
815-467-1774
person
Provider Business Mailing Address Details
Address
23952 S Northern Illinois Dr
City
State
Zip
60410-5184
Phone Number
815-467-4114
Fax Number
815-467-1774
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
036076520 (Illinois)
Definition
Definition to come...
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