Individual
ANGEL M GARCIA OTANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2940 ROLLINGRIDGE RD, SUITE 100, NAPERVILLE, IL 60564-4231
(630) 646-5800
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036.125928
IL
207Q00000X
Family Medicine Physician
39177
IA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/17/2007
Last updated
08/08/2023
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