Individual
DIEGO BALDEMAR SILVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 S PAULINA ST, CHICAGO, IL 60612-3806
(956) 900-1736
Mailing address
600 S PAULINA ST, CHICAGO, IL 60612-3806
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
125.083814
IL
Other
Enumeration date
06/18/2024
Last updated
06/18/2024
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