Angel Maria Medical Inc.

NPI 1114367505 - Family Medicine - 207Q00000X

NPI Details
NPI 1114367505
Enumeration Date 06/28/2013
Last Updated 06/28/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name MARIA NIDA V MARIA NIDA
Position OWNER
Phone (773) 376-4040
Fax (773) 890-1203
Practice Location
1824 W 47TH ST
CHICAGO IL, 60609-3842, US
Phone (773) 376-4040
Fax (773) 890-1203
Business Location
1824 W 47TH ST
CHICAGO IL, 60609-3842, US
Phone (773) 376-4040
Fax (773) 890-1203
Toxanomy
Taxonomy Code 207Q00000X
License State Illinois
License Number 036089667
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According to our database, Angel Maria Medical Inc. NPI is 1114367505, taxonomy code is 207Q00000X and license number is 036089667, license state is located at Illinois. Angel Maria Medical Inc. physically located at 1824 W 47th St, Chicago IL, 60609-3842. NPI Number 1033115704 has the healthcare provider type.

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1114367505 NPI number is provided on an as is basis without warranty of any kind. 1114367505 is maintained by the National Plan & Provider Enumeration System. The contents of Angel Maria Medical Inc. are for informational purposes only.