Individual
EMMANUEL JOSHUA MAGCALAS GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
303 E CHICAGO AVE # 3140W127, CHICAGO, IL 60611-4296
(312) 503-8144
Mailing address
610 EDISON ST APT 12, JETMORE, KS 67854-9024
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
125.083905
IL
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/18/2024
Last updated
05/24/2024
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