Organization
UNIVERSIDAD POPULAR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIO DEARRUDAH EDD (EXECUTIVE DIRECTOR)
(773) 733-5055
Entity
Organization
Contact information
Practice address
2801 S HAMLIN AVE, CHICAGO, IL 60623-4554
(773) 733-5055
(773) 733-5056
Mailing address
2801 S HAMLIN AVE, CHICAGO, IL 60623-4554
(773) 733-5055
(773) 733-5056
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
02/25/2022
Last updated
02/25/2022
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