Organization
ANGEL MARIA MEDICAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MARIA NIDA V BARINO MD (OWNER)
(630) 207-3962
Entity
Organization
Contact information
Practice address
1824 W 47TH ST, CHICAGO, IL 60609-3842
(773) 376-4040
(773) 890-1203
Mailing address
1824 W 47TH ST, CHICAGO, IL 60609-3842
(773) 376-4040
(773) 890-1203
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036089667
IL
Other
Enumeration date
06/28/2013
Last updated
06/28/2013
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