Individual
MRS. DIANA D CANO MUJICA DE CHIRINOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
625 W MADISON ST APT 1008, CHICAGO, IL 60661-2720
(312) 909-3831
Mailing address
625 W MADISON ST APT 1008, CHICAGO, IL 60661-2720
(312) 909-3831
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
125063555
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1447610233
NPI
IL
Enumeration date
03/07/2016
Last updated
03/23/2016
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