Individual
CARLOS GALVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1801 W TAYLOR ST # 1E, CHICAGO, IL 60612-4795
(312) 355-1625
(312) 355-1625
Mailing address
1219 JACKSON AVE, RIVER FOREST, IL 60305-1107
(708) 543-0269
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036149745
IL
207RH0000X
Hematology (Internal Medicine) Physician
036149745
IL
207RH0003X
Hematology & Oncology Physician
Primary
036149745
IL
207RX0202X
Medical Oncology Physician
036149745
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
03/29/2016
Last updated
01/29/2024
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