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Individual

DR. GUNAR GONZALO SUBIETA BENITO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1901 W HARRISON ST, CLINIC B, CHICAGO, IL 60612-3714
(312) 864-3220
Mailing address
1901 W HARRISON ST, CLINIC B, CHICAGO, IL 60612-3714
(312) 864-3220

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
036-119963
IL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
036119963
IL
207R00000X
Internal Medicine Physician
036119963
IL
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
036119963
IL

Other

Enumeration date
04/22/2008
Last updated
04/30/2021
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