Individual
LUIS MANUEL SALAZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1620 W HARRISON ST, CHICAGO, IL 60612-3801
(312) 942-5000
Mailing address
1611 W HARRISON ST STE 201, CHICAGO, IL 60612-4861
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
125.079854
IL
Other
Enumeration date
03/02/2020
Last updated
06/19/2022
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