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Individual

DAVID J FLORES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3348 W 87TH ST, CHICAGO, IL 60652-3767
(773) 776-4471
(773) 564-3510
Mailing address
213 N RACINE AVE, STE 100, CHICAGO, IL 60607-1644
(312) 733-9730
(773) 866-8014

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01060028A
IN
207Q00000X
Family Medicine Physician
Primary
036113814
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0090000854
BCBS GROUP NUMBER
IL
05
200522980
IN
Enumeration date
08/29/2005
Last updated
12/13/2016
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