Individual
EDGAR DAVID TORRES FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
251 E HURON ST, CHICAGO, IL 60611-2908
(312) 926-7430
Mailing address
251 E HURON ST, CHICAGO, IL 60611-2908
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
BP10070667
TX
207RC0000X
Cardiovascular Disease Physician
Primary
036164233
IL
Other
Enumeration date
05/06/2020
Last updated
05/23/2023
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