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Organization

VIDA PEDIATRICS, LTD.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ALEJANDRO CLAVIER MD, MPH (PRESIDENT)
(773) 906-5160
Entity
Organization

Contact information

Practice address
3124 W 59TH ST, CHICAGO, IL 60629-2504
(773) 906-5160
(773) 498-7415
Mailing address
3124 W 59TH ST, CHICAGO, IL 60629-2504
(773) 906-5160
(773) 498-7415

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Enumeration date
05/06/2015
Last updated
05/06/2015
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