Individual
DR. FAREED MOSES SEGUNDO COLLADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1725 W HARRISON ST STE 1159, CHICAGO, IL 60612-3883
(312) 942-5020
(312) 942-4039
Mailing address
1725 W HARRISON ST STE 1159, CHICAGO, IL 60612-3883
(312) 942-5020
(312) 942-4039
Taxonomy
Speciality
Code
Description
License number
State
207RA0002X
Adult Congenital Heart Disease Physician
036-129886
IL
207RI0011X
Interventional Cardiology Physician
Primary
036-129886
IL
Other
Enumeration date
07/17/2009
Last updated
07/07/2022
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