Individual
DR. JORGE DIEGO YAHUACA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6918 W ARCHER AVE, CHICAGO, IL 60638-2337
(773) 667-3508
(312) 962-4986
Mailing address
PO BOX 746715, ATLANTA, GA 30374-6715
(773) 667-3508
(312) 962-4986
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036.169108
IL
207Q00000X
Family Medicine Physician
125077803
IL
Other
Enumeration date
08/18/2016
Last updated
03/26/2026
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