Individual
JORGE VALENTIN FIGUEREDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1634 W WARREN BLVD, CHICAGO, IL 60612-3224
(708) 269-8162
Mailing address
1634 W WARREN BLVD, CHICAGO, IL 60612-3224
(708) 269-8162
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01067070A
IN
207Q00000X
Family Medicine Physician
Primary
036058621
IL
208600000X
Surgery Physician
036058621
IL
208D00000X
General Practice Physician
036058621
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036058621
—
IL
01
—
P00115376
R/R MEDICARE
—
Enumeration date
09/07/2006
Last updated
02/22/2021
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