Ortega, Carlos David

Ortega, Carlos David is an individual health care provider with primary practice located at 5140 N California Ave Suite 780, Chicago IL 60625-3645. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Ortega, Carlos David can be contacted via phone (773) 235-8887.

Contact Information

Primary practice address
5140 N California Ave Suite 780 Chicago IL 60625-3645
Phone: (773) 235-8887
Fax: (773) 235-8882
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 036100042 Illinois
Allopathic & Osteopathic Physicians / Surgery 208600000X 036100042 Illinois

Profile Details

NPI number 1972525269
LBN Legal business name Ortega, Carlos David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2006
Last updated Sep 20th, 2023 - about 2 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 1972525269 NPPES
Illinois Other 1629966 BCBSIL NIESS
Illinois Other K26864 BCBSIL NIESS
Illinois Other 1630046 BCBSIL NIESS
Illinois MEDICAID 036-100042 BCBSIL NIESS

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