Individual
DR. JEREMY R. ESTRADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5841 S MARYLAND AVE # MC5841, CHICAGO, IL 60637-1447
(773) 702-1000
Mailing address
96 CAMPUS DR, SCARBOROUGH, ME 04074-7163
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036.130657
IL
Other
Enumeration date
08/08/2014
Last updated
04/19/2019
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