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David Omar Henriquez Ticas, MD
Anatomic Pathology & Clinical Pathology Physician in Chicago, Illinois
NPI 1922539055

David Omar Henriquez Ticas is an Anatomic Pathology & Clinical Pathology Physician based in Houston, IL and is specialized in Anatomic Pathology & Clinical Pathology. David Omar Henriquez Ticas practices in Chicago, IL and has the professional credentials of MD. The NPI Number for David Omar Henriquez Ticas is 1922539055 and holds a License No. (Illinois).

The current practice location address for David Omar Henriquez Ticas is 710 N Fairbanks Ct Ste 2-458, Chicago, IL and can be reached out via phone at 312-926-3211 and via fax at 312-503-8259.

Location: 710 N Fairbanks Ct Ste 2-458, Chicago, IL, 77030-3411
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922539055
Provider Name
David Omar Henriquez Ticas
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
710 N Fairbanks Ct Ste 2-458, Chicago, IL, 77030-3411
Phone Number
312-926-3211
Fax Number
312-503-8259
Provider Enumeration Date
03/21/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
710 N Fairbanks Ct Ste 2-458
City
Chicago
State
Illinois
Zip
60611-3013
Phone Number
312-926-3211
Fax Number
312-503-8259
person
Provider Business Mailing Address Details
Address
710 N Fairbanks Ct Ste 2-458
City
Chicago
State
Illinois
Zip
60611-3013
Phone Number
312-926-3211
Fax Number
312-503-8259
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pathology
Speciality
Anatomic Pathology & Clinical Pathology
Taxonomy
207ZP0102X
License No.
036164840 (Illinois)
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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