Organization
MEDICAL ARTS CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDUARDO ARIAS AMEZQUITA CCA (ANAPLASTOLOGIST /OCULARIST)
(832) 725-5664
Entity
Organization
Contact information
Practice address
620 N LA SALLE DR STE 625, CHICAGO, IL 60654-3708
(832) 725-5664
Mailing address
620 N LA SALLE DR STE 625, CHICAGO, IL 60654-3708
(832) 725-5664
Taxonomy
Speciality
Code
Description
License number
State
156FX1700X
Ocularist
—
—
229N00000X
Anaplastologist
Primary
—
—
Other
Enumeration date
07/10/2023
Last updated
02/06/2025
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