NPI 1003193467

Gabriela a Cortez, PAC

Practitioner Medical Physician Assistant Chicago, IL

Practice location

Address: 4646 N Marine Dr STE C6100, Chicago, IL 60640-5759
Phone: (773) 564-6025
Fax: (773) 564-6026
Mailing address: 2431 Thatcher Ave, River Grove, IL 60171-1755

Registered specialties

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence 085000404 (IL)

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Registry record

NPI: 1003193467
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Nov 2011
Record last updated: 12 Nov 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.