Individual
DR. GLEN GENEROSO ADUANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9119 S EXCHANGE AVE, CHICAGO, IL 60617-4225
(773) 768-5000
Mailing address
9119 S EXCHANGE AVE, CHICAGO, IL 60617-4225
(773) 768-5000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD434071
PA
Other
Enumeration date
04/15/2008
Last updated
09/07/2011
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