Prisco I. Olaya Jr. M.d. S.c.

NPI 1033131974 - Internal Medicine - 207R00000X

NPI Details
NPI 1033131974
Enumeration Date 07/23/2006
Last Updated 12/22/2009
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name PRISCO I PRISCO
Position PRESIDENT
Phone (773) 581-8080
Fax
Practice Location
6222 S PULASKI RD
STE 2
CHICAGO IL, 60629-4610, US
Phone (773) 581-8080
Fax
Business Location
6222 S PULASKI RD
STE 2
CHICAGO IL, 60629-4610, US
Phone (773) 581-8080
Fax
Toxanomy
Taxonomy Code 207R00000X
License State Illinois
License Number 036048022
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According to our database, Prisco I. Olaya Jr. M.d. S.c. NPI is 1033131974, taxonomy code is 207R00000X and license number is 036048022, license state is located at Illinois. Prisco I. Olaya Jr. M.d. S.c. physically located at 6222 S Pulaski Rd, Chicago IL, 60629-4610. NPI Number 1033115704 has the healthcare provider type.

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1033131974 NPI number is provided on an as is basis without warranty of any kind. 1033131974 is maintained by the National Plan & Provider Enumeration System. The contents of Prisco I. Olaya Jr. M.d. S.c. are for informational purposes only.