Individual
DR. GUSTAVO RICARDO SANCHEZ-VARGAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
523 W GALENA BLVD, AURORA, IL 60506-3847
(630) 966-9701
(630) 966-9702
Mailing address
523 W GALENA BLVD, AURORA, IL 60506-3847
(630) 966-9701
(630) 966-9702
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036098710
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036098710
—
IL
01
—
11308130
CAQH
IL
01
—
4526065
BLUE CROSS BLUE SHIELD
IL
Enumeration date
03/04/2007
Last updated
05/14/2008
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