Individual
LORENA AUGUSTA OSTILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
225 E CHICAGO AVE, CHICAGO, IL 60611-2991
(786) 332-8031
Mailing address
200 E ILLINOIS ST APT 1808, CHICAGO, IL 60611-6302
(786) 332-8031
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3312180
CIGNA
IL
Enumeration date
03/25/2020
Last updated
03/25/2020
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