Individual
DR. JUAN DAVID IDARRAGA PARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
820 SOUTH WOOD STREET UI HEALTH, GRADUATE MEDICAL EDUCA, SUITE 100, MC 675, CHICAGO, IL 60612
(312) 996-2933
Mailing address
820 S WOOD ST STE 100, CHICAGO, IL 60612-4325
(312) 996-2933
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
125084845
IL
Other
Enumeration date
04/17/2024
Last updated
11/22/2024
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