Individual
HECTOR SALCEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3132 W NORTH AVE, CHICAGO, IL 60647-8415
(773) 227-3132
Mailing address
8828 NILES CENTER RD APT 501, SKOKIE, IL 60077-5455
(847) 502-4587
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036128912
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036128912
MEDICAL LICENSE
IL
01
—
336090317
CONTROL SUBSTANCE
IL
Enumeration date
07/10/2009
Last updated
02/15/2023
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