Organization
LA RAZA MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IRMA ESPERANZA URRUTIA-POTTER M.D. (M.D.)
(630) 238-2100
Entity
Organization
Contact information
Practice address
16 E GREEN ST, BENSENVILLE, IL 60106-2482
(630) 238-2100
(630) 238-2110
Mailing address
16 E GREEN ST, BENSENVILLE, IL 60106-2482
(630) 238-2100
(630) 238-2110
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02233119
BC/BS
IL
05
—
036112375
—
IL
01
—
1447363890
NPI
—
01
—
I43779
UPIN
IL
Enumeration date
05/14/2008
Last updated
05/14/2008
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