Individual
DR. CARLOS SANDOVAL-HERRERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3450 S ARCHER AVE, CHICAGO, IL 60608-6837
(773) 523-1000
(773) 843-1553
Mailing address
3450 S ARCHER AVE, CHICAGO, IL 60608-6837
(773) 523-1000
(773) 843-1553
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036125201
IL
Other
Enumeration date
02/17/2011
Last updated
05/14/2012
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