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Gustavo A. Pedraza, M.d., Ltd.
Primary Care Clinic/Center in Channahon, Illinois
NPI 1275705394

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 1275705394 and holds a License No. (Illinois).

The current practice location address for Gustavo A. Pedraza, M.d., Ltd. is 25220 S Reed St, Channahon, IL and can be reached out via phone at 815-467-4114.

Location: 25220 S Reed St, Channahon, IL, 60410-6000
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1275705394
Provider Name
Gustavo A. Pedraza, M.d., Ltd.
Credential
Provider Entity Type
Organization
Address
25220 S Reed St, Channahon, IL, 60410-6000
Phone Number
815-467-4114
Fax Number
Provider Enumeration Date
03/28/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
099-00605 01 IL BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
25220 S Reed St
City
Channahon
State
Illinois
Zip
60410-6000
Phone Number
815-467-4114
Fax Number
person
Provider Business Mailing Address Details
Address
25220 S Reed St
City
Channahon
State
Illinois
Zip
60410-6000
Phone Number
815-467-4114
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
(Illinois)
Definition
Definition to come...
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