Individual
GUIDO MORA CALDERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
225 E CHICAGO AVE, CHICAGO, IL 60611-2991
(312) 227-6103
(312) 227-9403
Mailing address
225 E CHICAGO AVE # 54, CHICAGO, IL 60611-2991
(312) 227-6103
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
09783481
NY
Other
Enumeration date
06/27/2017
Last updated
10/10/2024
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