Individual
DR. ERIKA LARAINE DAYANGHIRANG CHICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1501 S CALIFORNIA AVE STE L1026, CHICAGO, IL 60608-1732
(773) 202-5760
Mailing address
1501 S CALIFORNIA AVE STE L1026, CHICAGO, IL 60608-1732
(773) 257-6097
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
125.069842
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
125.069842
TEMPORARY LICENSE
IL
Enumeration date
07/12/2017
Last updated
07/12/2017
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