Individual
ANTONIO MANUEL MEDINA TREVINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
225 W HUBBARD ST STE 302, CHICAGO, IL 60654-4916
(312) 216-2447
Mailing address
225 W HUBBARD ST STE 302, CHICAGO, IL 60654-4916
(312) 216-2447
Taxonomy
Speciality
Code
Description
License number
State
111NI0900X
Internist Chiropractor
Primary
38.013414
IL
Other
Enumeration date
08/19/2019
Last updated
08/19/2019
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