Corazon B Custodio MD

NPI 1003911728 - Family Medicine - 207Q00000X

NPI Details
NPI 1003911728
Gender Female
Enumeration Date 09/14/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
333 S. STATE STREET
REVENUE # 200 CHICAGO DEPTARTMENT OF PUBLIC HEALTH
CHICAGO IL, 60604, US
Phone (312) 747-9443
Fax (312) 747-9447
Business Location
333 S. STATE STREET
REVENUE # 200 CHICAGO DEPTARTMENT OF PUBLIC HEALTH
CHICAGO IL, 60604, US
Phone (312) 747-9443
Fax (312) 747-9447
Toxanomy
Taxonomy Code 207Q00000X
License State
License Number
Remove 1003911728 NPI Number
 

According to our database, Corazon B Custodio MD NPI is 1003911728, taxonomy code is 207Q00000X Corazon B Custodio MD physically located at 333 S. State Street, Chicago IL, 60604. NPI Number Corazon B Custodio MD has the Individual type.

Sponsored links

1003911728 NPI number is provided on an as is basis without warranty of any kind. 1003911728 is maintained by the National Plan & Provider Enumeration System. The contents of Corazon B Custodio MD are for informational purposes only.