Carlos F Pedrera Md Sc

LBN: Carlos F Pedrera Md Sc
Carlos F Pedrera Md Sc is an health care organization with primary practice located at 1431 N Western Ave Ste 502 , Chicago IL 60622-1774. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Carlos F Pedrera Md Sc can be contacted via phone (773) 278-2600, or through Pedrera, Carlos Frank via phone (773) 278-2600.

Contact Information

Primary practice address
1431 N Western Ave Ste 502 Chicago IL 60622-1774
Phone: (773) 278-2600
Fax: (773) 278-2424
Website:
Map and Directions
Authorized official contact:
Name: Pedrera, Carlos Frank MD SC
Phone: (773) 278-2600

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036051754 Illinois

Profile Details

NPI number 1255305157
LBN Legal business name Carlos F Pedrera Md Sc
DBA Doing business as
Authorized official Pedrera, Carlos Frank MD SC
Entity Organization
Organization subpart 1 No
Enumeration date Feb 15th, 2006
Last updated Jul 27th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255305157 NPPES
Illinois MEDICAID 036051754

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