Individual
LUIS E UGARTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
152 W LINCOLN HWY, CHICAGO HEIGHTS, IL 60411-2619
(708) 755-7359
(708) 754-3071
Mailing address
152 W LINCOLN HWY, CHICAGO HEIGHTS, IL 60411-2619
(708) 755-7359
(708) 754-3071
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036047127
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036047127
—
IL
Enumeration date
07/12/2005
Last updated
06/07/2012
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