Individual
EMMANUEL CORDOVA
Active
Individual
EMMANUEL CORDOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036168977
IL
390200000X
Student in an Organized Health Care Education/Training Program
390200000X
IL
Other
Enumeration date
04/19/2021
Last updated
08/09/2024
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