Individual
MICHAEL DUARTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
4417 W DIVERSEY AVE, CHICAGO, IL 60639
(773) 598-2508
Mailing address
PO BOX 746715, ATLANTA, GA 30374-6715
(773) 377-7736
(815) 642-5723
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036.152175
IL
207Q00000X
Family Medicine Physician
4301118947
MI
Other
Enumeration date
04/07/2017
Last updated
09/16/2025
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