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Organization
HISPANIC REGIONAL CLINICS SC
Active
Organization
HISPANIC REGIONAL CLINICS SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAMON J CASTRO MD (PRESIDENT)
(773) 685-7816
Entity
Organization
Contact information
Practice address
5544 W BELMONT AVE, CHICAGO, IL 60641-4129
(773) 685-7816
(773) 685-4830
Mailing address
5544 W BELMONT AVE, CHICAGO, IL 60641-4129
(773) 685-7816
(773) 685-4830
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036083463
IL
207RC0000X
Cardiovascular Disease Physician
036045354
IL
207VG0400X
Gynecology Physician
036039405
IL
Other
Enumeration date
07/02/2006
Last updated
11/16/2010
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