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Organization
ALIAGA MEDICAL CENTER, SC
Active
Organization
ALIAGA MEDICAL CENTER, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FEDERICO ALIAGA M.D. (MEDICAL DIRECTOR)
(773) 762-3333
Entity
Organization
Contact information
Practice address
2859 S PULASKI RD, CHICAGO, IL 60623-4456
(773) 762-3333
Mailing address
2859 S PULASKI RD, CHICAGO, IL 60623-4456
(773) 762-3333
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
IL
207V00000X
Obstetrics & Gynecology Physician
—
IL
208000000X
Pediatrics Physician
—
IL
235Z00000X
Speech-Language Pathologist
361623198001
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
361623198001
—
IL
Enumeration date
12/05/2007
Last updated
12/05/2007
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