Individual
MARCOS MODIANO ESQUENAZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
430 W ERIE ST STE 205, CHICAGO, IL 60654-7692
(312) 755-3934
(312) 755-3934
Mailing address
430 W ERIE ST STE 205, CHICAGO, IL 60654-7692
(312) 755-3934
(312) 755-3934
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
125.055937
IL
Other
Enumeration date
07/01/2009
Last updated
07/02/2021
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