| Gabisa Medical Chicago Pllc | |
|
3504 N Broadway St Chicago IL 60657-1826 | |
| (773) 697-8676 | |
| (888) 929-2371 |
| Full Name | Gabisa Medical Chicago Pllc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 3504 N Broadway St, Chicago, Illinois |
| Authorized Official Name and Position | Marcelo Venegas Pizarro (DIRECTOR) |
| Authorized Official Contact | 3475241914 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gabisa Medical Chicago Pllc 3504 N Broadway St Chicago IL 60657-1826 Ph: (773) 697-8676 | Gabisa Medical Chicago Pllc 3504 N Broadway St Chicago IL 60657-1826 Ph: (773) 697-8676 |
| NPI Number | 1104563121 |
|---|---|
| Provider Enumeration Date | 05/20/2022 |
| Last Update Date | 05/20/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104563121 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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