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Individual

JUAN PABLO SALAZAR ADUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2650 RIDGE AVE., IM HOSPITALISTS STE 4210, EVANSTON, IL 60201
(847) 570-1010
(847) 733-5108
Mailing address
2650 RIDGE AVE., IM HOSPITALISTS STE 4210, EVANSTON, IL 60201
(847) 570-1010
(847) 733-5108

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036152370
IL
208M00000X
Hospitalist Physician
Primary
036152370
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
125070730
IL
Enumeration date
03/24/2017
Last updated
08/25/2021
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