Individual
JORGE CHEDRAUY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5145 N CALIFORNIA AVE, SWEDISH COVENANT HOSPITAL GME, CHICAGO, IL 60625-3661
(773) 989-3808
(773) 989-1648
Mailing address
5145 N CALIFORNIA AVE, SWEDISH COVENANT HOSPITAL GME, CHICAGO, IL 60625-3661
(773) 989-3808
(773) 989-1648
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036.134072
IL
208M00000X
Hospitalist Physician
Primary
036134072
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F400274108
MEDICARE PTAN
IL
Enumeration date
06/24/2011
Last updated
10/30/2020
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