Individual
DR. CARMELITA T CARRIAGA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD, FAAFP
Contact information
Practice address
1029 N SACRAMENTO AVE, CHICAGO, IL 60622-2746
(773) 278-8555
(773) 278-0338
Mailing address
1029 N SACRAMENTO AVE, CHICAGO, IL 60622-2746
(773) 278-8555
(773) 278-0338
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
IL
Other
Enumeration date
06/21/2006
Last updated
07/08/2007
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