Clinica Guadalupe Pc
LBN: Clinica Guadalupe Pc
Clinica Guadalupe Pc is an health care organization with primary practice located at 3511 W 26Th St , Chicago IL 60623-3910. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as the primary health care specialty.
Clinica Guadalupe Pc can be contacted via phone (773) 277-9100, or through Torres-Garza, Juan Antonio via phone (773) 277-9100.
Contact Information
Primary practice address
3511 W 26Th St
Chicago IL 60623-3910
Phone: (773) 277-9100
Fax: (773) 277-0860
Website:
Authorized official contact:
Name: Torres-Garza, Juan Antonio Doctor of Medicine (MD)
Phone: (773) 277-9100
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 036068407 | Illinois |
Profile Details
NPI number | 1336363563 |
---|---|
LBN Legal business name | Clinica Guadalupe Pc |
DBA Doing business as | |
Authorized official | Torres-Garza, Juan Antonio Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Apr 12th, 2007 |
Last updated | Jan 15th, 2010 - about 15 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1336363563 | NPPES |
Illinois | MEDICAID | 036068407 | |
Illinois | Other | 0001635727 |
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