Individual
MARIA FERNANDA PERDOMO MEZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4700 S CALIFORNIA AVE, CHICAGO, IL 60632-2016
(773) 584-6200
Mailing address
4700 S CALIFORNIA AVE, CHICAGO, IL 60632-2016
(773) 584-6200
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036.161594
IL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
06/05/2019
Last updated
12/06/2022
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