Individual
DR. SALVADOR SERRANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3109 W ARMITAGE AVE, CHICAGO, IL 60647-3818
(773) 384-4933
(773) 384-5037
Mailing address
3109 W ARMITAGE AVE, CHICAGO, IL 60647-3818
(773) 384-4933
(773) 384-5037
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
036073762
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02232848
BCBS
IL
05
—
036073762
—
IL
Enumeration date
10/13/2006
Last updated
09/08/2009
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