| Centro Medico Digestivo | |
|
850 W Irving Park Rd Chicago IL 60613-3077 | |
| (773) 277-3000 | |
| (773) 277-1035 |
| Full Name | Centro Medico Digestivo |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 850 W Irving Park Rd, Chicago, Illinois |
| Authorized Official Name and Position | Jose A Albisu (PRESIDENT) |
| Authorized Official Contact | 7732773000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centro Medico Digestivo Po Box 772970 Chicago IL 60677-0270 Ph: (773) 277-3000 | Centro Medico Digestivo 850 W Irving Park Rd Chicago IL 60613-3077 Ph: (773) 277-3000 |
| NPI Number | 1336322262 |
|---|---|
| Provider Enumeration Date | 12/13/2007 |
| Last Update Date | 09/29/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336322262 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 036075120 (Illinois) | Primary |
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