Individual
MARGARITA G VALDECANTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5999 NEW WILKE RD, SUITE 200 BUILDING 2, ROLLING MEADOWS, IL 60008-4506
(847) 255-7107
(847) 255-7031
Mailing address
5999 NEW WILKE RD BLDG 2, SUITE 200 BUILDING 2, ROLLING MEADOWS, IL 60008-4506
(847) 255-7107
(847) 255-7031
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036135001
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036135001
STATE LICENSE
IL
Enumeration date
07/05/2011
Last updated
05/11/2021
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