Marco Antonio Ayala M.D.

NPI 1023089992 - Otolaryngology - 207Y00000X

NPI Details
NPI 1023089992
Gender Male
Enumeration Date 01/30/2006
Last Updated 09/29/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
3001 6TH ST STE A
NAVAL HEALTH CLINIC GREAT LAKES-ENT
GREAT LAKES IL, 60088-2833, US
Phone (847) 688-4533
Fax (847) 688-7326
Business Location
86 JOHNSTON DR
HIGHLAND PARK IL, 60035-6411, US
Phone (619) 917-6328
Fax
Toxanomy
Taxonomy Code 207Y00000X
License State Virginia
License Number 0101236847
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According to our database, Dr. Marco Antonio Ayala M.D. NPI is 1023089992, taxonomy code is 207Y00000X and license number is 0101236847, license state is located at Virginia. Marco Antonio Ayala M.D. physically located at 3001 6th St Ste A, Great Lakes IL, 60088-2833. NPI Number Marco Antonio Ayala M.D. has the Individual type.

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1023089992 NPI number is provided on an as is basis without warranty of any kind. 1023089992 is maintained by the National Plan & Provider Enumeration System. The contents of Marco Antonio Ayala M.D. are for informational purposes only.