| Adolfo M. Maglaya, M.d., S.c. | |
|
326 W. 64th St. Chicago IL 60621 | |
| (773) 846-4800 | |
| Not Available |
| Full Name | Adolfo M. Maglaya, M.d., S.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 326 W. 64th St., Chicago, Illinois |
| Authorized Official Name and Position | Adolfo Mori Maglaya (PRESIDENT) |
| Authorized Official Contact | 7738464800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Adolfo M. Maglaya, M.d., S.c. 326 W. 64th St. Chicago IL 60621 Ph: (773) 846-4800 | Adolfo M. Maglaya, M.d., S.c. 326 W. 64th St. Chicago IL 60621 Ph: (773) 846-4800 |
| NPI Number | 1750538104 |
|---|---|
| Provider Enumeration Date | 08/27/2008 |
| Last Update Date | 08/27/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750538104 | NPI | - | NPPES |
| 036-045274 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036-045274 (Illinois) | Primary |
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