Organization
METRO MG LLC
Active
Organization
METRO MG LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE AYALA MD (OWNER)
(786) 301-4903
Entity
Organization
Contact information
Practice address
5408 W FULLERTON AVE, CHICAGO, IL 60639
(786) 301-4903
Mailing address
5408 W FULLERTON AVE, CHICAGO, IL 60639
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
Primary
—
—
207Q00000X
Family Medicine Physician
—
—
Other
Enumeration date
01/27/2025
Last updated
01/27/2025
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