Hidetaka Kitazono M.D.

NPI 1033316104 - Internal Medicine - 207R00000X

NPI Details
NPI 1033316104
Gender Male
Enumeration Date 06/29/2007
Last Updated 08/04/2008
Entity Type Individual
Active Over 9 years ago
Practice Location
808 S WOOD ST
ROOM 888
CHICAGO IL, 60612-7300, US
Phone (312) 996-6732
Fax (312) 413-1657
Business Location
675 LAKE ST
#114
OAK PARK IL, 60301-1421, US
Phone (808) 728-8928
Fax
Toxanomy
Taxonomy Code 207R00000X
License State Hawaii
License Number MDR-4781
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According to our database, Hidetaka Kitazono M.D. NPI is 1033316104, taxonomy code is 207R00000X and license number is MDR-4781, license state is located at Hawaii. Hidetaka Kitazono M.D. physically located at 808 S Wood St, Chicago IL, 60612-7300. NPI Number Hidetaka Kitazono M.D. has the Individual type.

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1033316104 NPI number is provided on an as is basis without warranty of any kind. 1033316104 is maintained by the National Plan & Provider Enumeration System. The contents of Hidetaka Kitazono M.D. are for informational purposes only.