Individual
DR. JUAN PAULO NODA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
251 E HURON ST, CHICAGO, IL 60611-2908
(312) 926-8799
Mailing address
676 N SAINT CLAIR ST STE 2320, CHICAGO, IL 60611-2915
(312) 926-8799
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
125077324
IL
208D00000X
General Practice Physician
125077324
IL
390200000X
Student in an Organized Health Care Education/Training Program
125077324
IL
390200000X
Student in an Organized Health Care Education/Training Program
4351046712
MI
Other
Enumeration date
05/28/2020
Last updated
06/20/2024
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