Individual
DR. LUCIANO A TAMAYO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
645 S CENTRAL AVE, CHICAGO, IL 60644-5059
(773) 626-4300
Mailing address
645 S CENTRAL AVE, CHICAGO, IL 60644-5059
(773) 626-4300
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
125.081029
IL
Other
Enumeration date
07/19/2022
Last updated
07/19/2022
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