institution
Clinica Guadalupe Pc
General Practice Physician in Chicago, Illinois
NPI 1336363563

Clinica Guadalupe Pc is a General Practice Physician based in Chicago, IL. Clinica Guadalupe Pc practices in Chicago, IL. The NPI Number for Clinica Guadalupe Pc is 1336363563 and holds a License No. 036068407 (Illinois).

The current practice location address for Clinica Guadalupe Pc is 3511 W 26Th St, Chicago, IL and can be reached out via phone at 773-277-9100 and via fax at 773-277-0860.

Location: 3511 W 26Th St, Chicago, IL, 60623-3910
institution
Provider Profile Details
NPI Number
1336363563
Provider Name
Clinica Guadalupe Pc
Credential
Provider Entity Type
Organization
Address
3511 W 26Th St, Chicago, IL, 60623-3910
Phone Number
773-277-9100
Fax Number
773-277-0860
Provider Enumeration Date
04/12/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036068407 05 IL
0001635727 01 IL BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
3511 W 26Th St
City
State
Zip
60623-3910
Phone Number
773-277-9100
Fax Number
773-277-0860
person
Provider Business Mailing Address Details
Address
3511 W 26Th St
City
State
Zip
60623-3910
Phone Number
773-277-9100
Fax Number
773-277-0860
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
036068407 (Illinois)
Definition
Definition to come...
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