Mora, Juanita
Mora, Juanita is an individual health care provider with primary practice located at 4952 W Irving Park Rd Chicago Allergy Center Suite 100, Chicago IL 60641-2640. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy & Immunology, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Allergy & Immunology is her primary health care specialty. Mora, Juanita can be contacted via phone (773) 614-7315.Contact Information
Primary practice address
4952 W Irving Park Rd Chicago Allergy Center Suite 100
Chicago IL 60641-2640
Phone: (773) 614-7315
Fax: (773) 644-1370
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | 036118624 | Illinois |
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036118624 | Illinois |
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 0368118624 | Illinois |
Profile Details
NPI number | 1750557179 |
---|---|
LBN Legal business name | Mora, Juanita |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 6th, 2008 |
Last updated | Apr 30th, 2015 - about 10 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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