Dacuycuy, Wilfredo Garduque
Dacuycuy, Wilfredo Garduque is an individual health care provider with primary practice located at 1809 Sheridan Rd , North Chicago IL 60064-2235. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Dacuycuy, Wilfredo Garduque can be contacted via phone (847) 785-0611.Contact Information
Primary practice address
1809 Sheridan Rd
North Chicago IL 60064-2235
Phone: (847) 785-0611
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 3654557 | Illinois |
Profile Details
| NPI number | 1407818545 |
|---|---|
| LBN Legal business name | Dacuycuy, Wilfredo Garduque |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 4th, 2006 |
| Last updated | Nov 21st, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407818545 | NPPES |
| Illinois | MEDICAID | 036054557 |
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