Individual
DR. JOSE A AYALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5406 W FULLERTON AVENUE, CHICAGO, IL 60639-1427
(773) 466-7012
Mailing address
2839 W WELLINGTON AVE # 2512, CHICAGO, IL 60618-7037
(786) 301-4903
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036119906
IL
Other
Enumeration date
08/19/2008
Last updated
09/18/2023
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