Individual
JUAN PATRICIO TAMAYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1810 W CHICAGO AVE, CHICAGO, IL 60622-5512
(773) 489-6100
(773) 489-6156
Mailing address
1810 W CHICAGO AVE, CHICAGO, IL 60622
(773) 489-6100
(773) 489-6156
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
IL
Other
Enumeration date
01/02/2007
Last updated
07/08/2007
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