Gustavo A. Pedraza, M.D., Ltd. in Channahon - Primary Care
Gustavo A. Pedraza, M.D., Ltd. - NPI 1275705394
Gustavo A. Pedraza, M.D., Ltd. is a Primary Care in Channahon, Illinois. Gustavo A. Pedraza, M.D., Ltd. practices all healthcare services and medical treatments related to Primary Care. The NPI Number for Gustavo A. Pedraza, M.D., Ltd. is 1275705394. The last update date is 2008-03-28.
Gustavo A. Pedraza, M.D., Ltd.'s current location address is 25220 S Reed St, Channahon, Illinois. You can contact this provider via phone number 8154674114. The mailing address for Gustavo A. Pedraza, M.D., Ltd. is 25220 S Reed St, Channahon, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Gustavo A. Pedraza, M.D., Ltd. |
|---|---|
| Address | 25220 S Reed St, Channahon, Illinois |
| Phone Number | 8154674114 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Pedraza A. Gustavo |
| Credentials | M.D. |
| Telephone Number | 8154674114 |
NPI Number Detail
| NPI Number | 1275705394 |
|---|---|
| Provider Enumeration Date | 2008-03-28 |
| Last Updated Date | 2008-03-28 |
Provider Mailing Address Detail
| Address | 25220 S Reed St |
|---|---|
| City | Channahon |
| State | Illinois (IL) |
| Post Code | 604106000 |
| Phone Number | 8154674114 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Primary Care |
|---|---|
| Taxonomy | 261Qp2300X |
|
Definition: Serves as the first point of contact for comprehensive healthcare services. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 099-00605 | IL | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Gustavo A. Pedraza, M.D., Ltd. by the Centers for Medicare & Medicaid Services?
The Gustavo A. Pedraza, M.D., Ltd. has been assigned the NPI (National Provider Identifier) 1275705394 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Gustavo A. Pedraza, M.D., Ltd. is located?
The Gustavo A. Pedraza, M.D., Ltd. is situated at the following address: 25220 S Reed St, Channahon, IL, 604106000.
What is Gustavo A. Pedraza, M.D., Ltd.'s specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Gustavo A. Pedraza, M.D., Ltd. is Primary Care, and the taxonomy code that classifies this field of practice is 261Qp2300X.
When did Gustavo A. Pedraza, M.D., Ltd. receive its 1275705394 assignment?
The Gustavo A. Pedraza, M.D., Ltd. was assigned its 1275705394 on 2008-03-28, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Gustavo A. Pedraza, M.D., Ltd. last refreshed?
The information related to the Gustavo A. Pedraza, M.D., Ltd., including its address, specialty, and other relevant details, was last updated on 2008-03-28.
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