Individual
ELAINE T AGUINALDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
5215 N. CALIFORNIA AVENUE, ERIE FOSTER AVENUE HEALTH CENTER, CHICAGO, IL 60625
(312) 666-3494
Mailing address
1701 W. SUPERIOR, ERIE FAMILY HEALTH CENTER, CHICAGO, IL 60622
(312) 666-3494
(312) 432-4354
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036138276
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036138276
—
IL
Enumeration date
05/04/2011
Last updated
07/26/2024
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