Individual
DR. ALAN JOBANY OLIVAS GASTELUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1969 W OGDEN AVE, CHICAGO, IL 60612-3765
(312) 864-6000
Mailing address
1969 W OGDEN AVE, CHICAGO, IL 60612-3765
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
125.084852
IL
Other
Enumeration date
06/27/2024
Last updated
06/27/2024
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