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Individual
JORGE CHEDRAUY
Active
Individual
JORGE CHEDRAUY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036.134072
IL
208M00000X
Hospitalist Physician
Primary
036134072
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F400274108
MEDICARE PTAN
IL
Enumeration date
06/24/2011
Last updated
10/30/2020
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