Individual
LUIS T GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
711 W NORTH AVE, CHICAGO, IL 60610-1174
(312) 337-1982
Mailing address
711 W NORTH AVE, CHICAGO, IL 60610-1174
(312) 337-1982
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036066009
IL
207QG0300X
Geriatric Medicine (Family Medicine) Physician
036066009
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036066009
IL STATE LICENSE #
IL
05
—
036066009
—
IL
Enumeration date
08/29/2006
Last updated
05/15/2025
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