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Organization
MEDICI HEALTHCARE PROVIDERS S.C
Active
Organization
MEDICI HEALTHCARE PROVIDERS S.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAURICIO CONSALTER MD (CEO)
(312) 550-2148
Entity
Organization
Contact information
Practice address
2381 N MILWAUKEE AVE, CHICAGO, IL 60647-2924
(773) 227-2687
(312) 288-0164
Mailing address
310 N LOOMIS ST, CHICAGO, IL 60607-1147
(312) 733-2273
(312) 733-7225
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
03/27/2007
Last updated
12/22/2021
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