Individual
DR. JOSE G DUARTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
197 N LARCH AVE, ELMHURST, IL 60126-2724
(630) 667-7726
(630) 530-4717
Mailing address
197 N LARCH AVE, ELMHURST, IL 60126-2724
(630) 667-7726
(630) 530-4717
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036-052007
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036-052007
ANESTHESIOLOGY
IL
Enumeration date
08/10/2009
Last updated
08/10/2009
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