Organization
ADOLFO M. MAGLAYA, M.D., S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADOLFO MORI MAGLAYA M.D. (PRESIDENT)
(773) 846-4800
Entity
Organization
Contact information
Practice address
326 W. 64TH ST., CHICAGO, IL 60621
(773) 846-4800
Mailing address
326 W. 64TH ST., CHICAGO, IL 60621
(773) 846-4800
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036-045274
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036-045274
—
IL
Enumeration date
08/27/2008
Last updated
08/27/2008
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