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Individual

DR. CHASE SALAZAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
676 N SAINT CLAIR ST STE 415, CHICAGO, IL 60611-3133
(312) 926-3627
(312) 694-4102
Mailing address
4600 N RAVENSWOOD AVE, CHICAGO, IL 60640-4510
(773) 561-7500
(773) 561-7612

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036171175
IL
207Q00000X
Family Medicine Physician
125.077710
IL
390200000X
Student in an Organized Health Care Education/Training Program
IL

Other

Enumeration date
03/28/2021
Last updated
01/09/2025
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