# HISPANIC REGIONAL CLINICS SC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184653040
- **Authorized official:** DR. RAMON J CASTRO MD (PRESIDENT)
- **Authorized official phone:** (773) 685-7816

## Contact information

- **Practice address:** 5544 W BELMONT AVE, CHICAGO, IL 60641-4129
- **Practice address phone:** (773) 685-7816
- **Practice address fax:** (773) 685-4830
- **Mailing address:** 5544 W BELMONT AVE, CHICAGO, IL 60641-4129
- **Mailing address phone:** (773) 685-7816
- **Mailing address fax:** (773) 685-4830

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 036083463 | IL | Yes |
| 207RC0000X | Cardiovascular Disease Physician | 036045354 | IL | — |
| 207VG0400X | Gynecology Physician | 036039405 | IL | — |

## Other

- **Enumeration date:** 07/02/2006
- **Last updated:** 11/16/2010