Individual
GABRIELA A CORTEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4646 N MARINE DR STE C6100, CHICAGO, IL 60640-5759
(773) 564-6025
(773) 564-6026
Mailing address
2431 THATCHER AVE, RIVER GROVE, IL 60171-1755
(773) 318-6999
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
085000404
IL
Other
Enumeration date
11/12/2011
Last updated
11/12/2011
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