Individual
SEBASTIAN CRISTOBAL VALDIVIESO RUEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1969 W OGDEN AVE, CHICAGO, IL 60612-3765
(600) 864-6000
Mailing address
1969 W OGDEN AVE, CHICAGO, IL 60612-3765
(600) 864-6000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036169565
IL
208C00000X
Colon & Rectal Surgery Physician
036.169565
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/26/2019
Last updated
07/03/2025
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