| Andres O. Botuyan Md., Sc | |
|
1044 N Mozart St Suite 505 Chicago IL 60622-2789 | |
| (773) 645-0393 | |
| Not Available |
| Full Name | Andres O. Botuyan Md., Sc |
|---|---|
| Speciality | Surgery |
| Location | 1044 N Mozart St, Chicago, Illinois |
| Authorized Official Name and Position | Andres O. Botuyan (PRESIDENT) |
| Authorized Official Contact | 7736450393 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Andres O. Botuyan Md., Sc Po Box 39228 Chicago IL 60639-0228 Ph: () - | Andres O. Botuyan Md., Sc 1044 N Mozart St Suite 505 Chicago IL 60622-2789 Ph: (773) 645-0393 |
| NPI Number | 1548579832 |
|---|---|
| Provider Enumeration Date | 10/04/2010 |
| Last Update Date | 10/04/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548579832 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 208600000X | Surgery | (* (Not Available)) | Primary |
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