Individual
GUSTAVO ESPINOZA MERCADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 S FAIRFIELD AVE, CHICAGO, IL 60608-1782
(773) 257-5077
Mailing address
901 S ASHLAND AVE APT 303, CHICAGO, IL 60607-4083
(312) 447-4734
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
125080655
IL
Other
Enumeration date
07/06/2022
Last updated
07/06/2022
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