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Individual

GLADYS ESTRADA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
5359 W FULLERTON AVE, CHICAGO, IL 60639-1450
(708) 763-2369
Mailing address
5359 W FULLERTON AVE, CHICAGO, IL 60639-1450

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
125056228
IL

Other

Enumeration date
06/08/2009
Last updated
04/05/2011
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