NPI 1003837071

Esmeraldo E Cordova, MD

Practitioner General Practice Physician Chicago, IL

Practice location

Address: 3625 W Roosevelt Rd, Chicago, IL 60624
Phone: (773) 522-0110
Fax: (630) 964-8397
Mailing address: 7317 Bayberry Lane, Darien, IL 60561

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 03652477 (IL)

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Registry record

NPI: 1003837071
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Jul 2006
Record last updated: 8 Jul 2007

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.