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Organization

CARLOS F PEDRERA MD SC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CARLOS FRANK PEDRERA MD SC (PRESIDENT)
(773) 278-2600
Entity
Organization

Contact information

Practice address
1431 N WESTERN AVE STE 502, CHICAGO, IL 60622-1774
(773) 278-2600
(773) 278-2424
Mailing address
6545 N LONGMEADOW AVE, LINCOLNWOOD, IL 60712-3205
(847) 677-7996
(847) 673-4032

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036051754
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036051754
IL
Enumeration date
02/15/2006
Last updated
07/27/2011
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