Individual
FEDERICO J ALIAGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2859 S PULASKI RD, CHICAGO, IL 60623-4456
(773) 762-3333
Mailing address
2859 S PULASKI RD, CHICAGO, IL 60623-4456
(773) 762-3333
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01623061
BLUE CROSS &BLUE SHIELD
IL
Enumeration date
02/01/2007
Last updated
07/08/2007
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