Macias Huerta, Carmen Patricia

Macias Huerta, Carmen Patricia is an sole proprietor health care provider with primary practice located at 2740 W Foster Ave Ste 412 , Chicago IL 60625-3532. She recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is her primary health care specialty. Macias Huerta, Carmen Patricia can be contacted via phone (773) 293-4362.

Contact Information

Primary practice address
2740 W Foster Ave Ste 412 Chicago IL 60625-3532
Phone: (773) 293-4362
Fax: (847) 763-8937
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036085331 Illinois
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 036085331 Illinois
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X 036-085331 Illinois
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 036085331 Illinois

Profile Details

NPI number 1891753588
LBN Legal business name Macias Huerta, Carmen Patricia
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 2nd, 2006
Last updated Feb 25th, 2024 - about 10 months 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 1891753588 NPPES
Illinois Other 02215074 BLUE SHIELD PROVIDER NUMB
Illinois MEDICAID 036085331 BLUE SHIELD PROVIDER NUMB

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