Organization
CARMEN A. SIERRA M.D.,S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARMEN ANA SIERRA M.D. (PRESIDENT)
(773) 384-8584
Entity
Organization
Contact information
Practice address
1349 N WESTERN AVE, CHICAGO, IL 60622-8316
(773) 384-8584
(773) 661-0921
Mailing address
1349 N WESTERN AVE, CHICAGO, IL 60622-8316
(773) 384-8584
(773) 661-0921
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
IL
Other
Enumeration date
09/22/2007
Last updated
09/22/2007
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