Organization
HOME MD LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESUS RENE DADIVAS M.D. (PRESIDENT)
(773) 772-8770
Entity
Organization
Contact information
Practice address
3426 W ARMITAGE AVE, CHICAGO, IL 60647-3720
(773) 772-8770
(847) 307-8314
Mailing address
3426 W ARMITAGE AVE, CHICAGO, IL 60647-3720
(773) 772-8770
(847) 307-8314
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
—
IL
Other
Enumeration date
08/10/2006
Last updated
08/22/2020
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