Individual
DR. ERNESTO ESTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3525 W PETERSON AVE, SUITE 210, CHICAGO, IL 60659-3324
(773) 293-6671
(773) 961-8102
Mailing address
3525 W PETERSON AVE, SUITE 210, CHICAGO, IL 60659-3324
(773) 293-6671
(773) 961-8102
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036120810
IL
207Q00000X
Family Medicine Physician
51956-020
WI
Other
Enumeration date
05/03/2007
Last updated
08/27/2012
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