Individual
CARLOS FRANK PEDRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1431 N WESTERN AVE STE 502, CHICAGO, IL 60622-1774
(773) 278-2600
(773) 278-2424
Mailing address
1431 N WESTERN AVE STE 502, CHICAGO, IL 60622-1774
(773) 278-2600
(773) 278-2424
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036051754
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036051754
—
IL
Enumeration date
02/27/2006
Last updated
10/20/2011
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