Individual
BELSY JANETH GARCIA MANRIQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1740 W TAYLOR ST, CHICAGO, IL 60612-7232
(312) 355-1706
Mailing address
4701 N KEATING AVE, CHICAGO, IL 60630-4063
(706) 307-0325
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036.158635
IL
Other
Enumeration date
03/26/2019
Last updated
09/15/2022
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