| Gabisa Medical Chicago Pllc | |
|
1449 W Irving Park Rd Chicago IL 60613-1922 | |
| (718) 697-8378 | |
| (888) 929-2371 |
| Full Name | Gabisa Medical Chicago Pllc |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 1449 W Irving Park Rd, Chicago, Illinois |
| Authorized Official Name and Position | Marcelo Venegas-pizarro (MEDICAL 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 3436 Clinton Ave Berwyn IL 60402-3322 Ph: (347) 524-1914 | Gabisa Medical Chicago Pllc 1449 W Irving Park Rd Chicago IL 60613-1922 Ph: (718) 697-8378 |
| NPI Number | 1952991838 |
|---|---|
| Provider Enumeration Date | 01/24/2021 |
| Last Update Date | 01/24/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952991838 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
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