Individual
GABRIELA BAEZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1740 W TAYLOR ST, CHICAGO, IL 60612-7232
(866) 600-2273
Mailing address
3722 S 60TH CT, CICERO, IL 60804-4114
(773) 787-6497
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036-133881
IL
Other
Enumeration date
03/21/2010
Last updated
04/29/2015
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