Organization
CENTRO MEDICO LA VILLITA S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARMEN MATCHAIN M.A. (MEDICAL ASSISTANT)
(773) 522-7240
Entity
Organization
Contact information
Practice address
3356 W 26TH ST, CHICAGO, IL 60623-4037
(773) 522-7240
(773) 522-1343
Mailing address
3356 W 26TH ST, CHICAGO, IL 60623-4037
(773) 522-7240
(773) 522-1343
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
IL
Other
Enumeration date
06/07/2007
Last updated
08/22/2020
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