Dacuycuy, Wilfredo Garduque

Dacuycuy, Wilfredo Garduque is an individual health care provider with primary practice located at 1809 Sheridan Rd , North Chicago IL 60064-2235. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Dacuycuy, Wilfredo Garduque can be contacted via phone (847) 785-0611.

Contact Information

Primary practice address
1809 Sheridan Rd North Chicago IL 60064-2235
Phone: (847) 785-0611
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 3654557 Illinois

Profile Details

NPI number 1407818545
LBN Legal business name Dacuycuy, Wilfredo Garduque
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2006
Last updated Nov 21st, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407818545 NPPES
Illinois MEDICAID 036054557

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