Individual
DR. RAYNELDA HIDALGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6121 N ELSTON AVE, CHICAGO, IL 60646-4703
(773) 792-0209
(773) 792-0112
Mailing address
6121 N ELSTON AVE, CHICAGO, IL 60646-4703
(773) 792-0209
(773) 792-0112
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
36087120
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036087120
—
IL
Enumeration date
02/09/2007
Last updated
12/17/2021
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