Organization
HUMBERTO VERGARA MD & ASSOCIATES SC
Active
Organization
HUMBERTO VERGARA MD & ASSOCIATES SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HUMBERTO VERGARA M.D. (PRESIDENT)
(773) 278-4811
Entity
Organization
Contact information
Practice address
1431 N WESTERN AVE, SUITE 205, CHICAGO, IL 60622-1797
(773) 278-4811
(773) 278-5920
Mailing address
1431 N WESTERN AVE, SUITE 205, CHICAGO, IL 60622-1797
(773) 278-4811
(773) 278-5920
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
036-072013
IL
Other
Enumeration date
05/22/2007
Last updated
08/31/2010
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