Gustavo Ricardo Sanchez Vargas Md Sc | |
523 W Galena Blvd Aurora IL 60506-3847 | |
(630) 966-9701 | |
(630) 966-9702 |
Full Name | Gustavo Ricardo Sanchez Vargas Md Sc |
---|---|
Speciality | Clinic/center |
Location | 523 W Galena Blvd, Aurora, Illinois |
Authorized Official Name and Position | Gustavo Ricardo Sanchez-vargas (PRESIDENT) |
Authorized Official Contact | 6309669701 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Gustavo Ricardo Sanchez Vargas Md Sc 523 W Galena Blvd Aurora IL 60506-3847 Ph: (630) 966-9701 | Gustavo Ricardo Sanchez Vargas Md Sc 523 W Galena Blvd Aurora IL 60506-3847 Ph: (630) 966-9701 |
NPI Number | 1255514089 |
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Provider Enumeration Date | 12/15/2007 |
Last Update Date | 05/14/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255514089 | NPI | - | NPPES |
1205965522 | Other | IL | NPI |
11308130 | Other | IL | CAQH |
4526065 | Other | IL | BLUE CROSS BLUE SHIELD |
036098710 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 036098710 (Illinois) | Primary |
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