Organization
GABISA MEDICAL CHICAGO PLLC
Active
Organization
GABISA MEDICAL CHICAGO PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCELO VENEGAS-PIZARRO MD (MEDICAL DIRECTOR)
(347) 524-1914
Entity
Organization
Contact information
Practice address
4121 W NORTH AVE, CHICAGO, IL 60639-5205
(773) 697-8623
(888) 929-2371
Mailing address
3436 CLINTON AVE, BERWYN, IL 60402-3322
(347) 524-1914
(888) 929-2371
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Enumeration date
08/25/2021
Last updated
08/25/2021
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