Individual
MAURICIO GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
3533 W NORTH AVE, CHICAGO, IL 60647-7573
(773) 388-1600
Mailing address
2015 W 18TH PL, CHICAGO, IL 60608-2707
(708) 856-1428
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.011189
IL
Other
Enumeration date
05/05/2025
Last updated
05/05/2025
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