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Organization

JR DADIVAS JR. MD., SC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JESUS R DADIVAS MD (OWNER)
(312) 588-1104
Entity
Organization

Contact information

Practice address
730 S DEARBORN ST, CHICAGO, IL 60605-1838
(312) 588-1104
(312) 577-0884
Mailing address
730 S DEARBORN ST, CHICAGO, IL 60605-1838
(312) 588-1104
(312) 577-0884

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Enumeration date
02/21/2014
Last updated
02/21/2014
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