Individual
JACQUELINE P ARTEAGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1845 W 47TH ST, CHICAGO, IL 60609
(773) 927-5524
(773) 804-8450
Mailing address
100 E 14TH ST APT 904, CHICAGO, IL 60605-3666
(773) 927-5524
(773) 804-8450
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036119408
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11922552
CAQH
—
Enumeration date
01/22/2008
Last updated
03/07/2023
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