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Individual
DR. EDUARDO JORGE ENCINAS
Active
Individual
DR. EDUARDO JORGE ENCINAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036060976
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01619327
BLUE CROSS NO ASHLAND OFC
IL
05
—
036060976
—
IL
01
—
31600405
BLUE CROSS CICERO OFFC
IL
01
—
363484385
TAX ID NO.
IL
Enumeration date
11/03/2006
Last updated
07/09/2007
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