Individual
DR. SEBASTIAN MARIATEGUI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1969 W OGDEN AVE, CHICAGO, IL 60612-3765
(312) 864-2730
Mailing address
1105 PLEASANT ST UNIT 316, OAK PARK, IL 60302-0004
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
125.084918
IL
Other
Enumeration date
06/26/2024
Last updated
06/26/2024
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