Organization
PAULINA MED CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREA RENTEA M.D. (DOCTOR)
(773) 583-7793
Entity
Organization
Contact information
Practice address
3525 W PETERSON AVE, SUITE 611, CHICAGO, IL 60659-3324
(773) 583-7793
(773) 583-7796
Mailing address
3525 W PETERSON AVE, SUITE 611, CHICAGO, IL 60659-3324
(773) 583-7793
(773) 583-7796
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
036058737
IL
Other
Enumeration date
07/31/2008
Last updated
12/02/2011
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