Ma. Olivia R. San Diego, M.D., S.C.

LBN: Ma. Olivia R. San Diego, M.D., S.C.
Ma. Olivia R. San Diego, M.D., S.C. is an health care organization with primary practice located at 1044 N Mozart St Suite 205, Chicago IL 60622-2789. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Ma. Olivia R. San Diego, M.D., S.C. can be contacted via phone (773) 489-2913, or through San Diego, Ma. Olivia Roque via phone (973) 653-6119.

Contact Information

Primary practice address
1044 N Mozart St Suite 205 Chicago IL 60622-2789
Phone: (773) 489-2913
Fax: (773) 489-7330
Website:
Map and Directions
Authorized official contact:
Name: San Diego, Ma. Olivia Roque Doctor of Medicine (MD)
Phone: (973) 653-6119

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036-130487 Illinois

Profile Details

NPI number 1245580653
LBN Legal business name Ma. Olivia R. San Diego, M.D., S.C.
DBA Doing business as
Authorized official San Diego, Ma. Olivia Roque Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 12th, 2012
Last updated Sep 12th, 2012 - about 13 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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