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CORAZON B CUSTODIO MD
NPI 1003911728
Family Medicine in Chicago, IL

Active since September 14, 2006
333 S. STATE STREET, REVENUE # 200 CHICAGO DEPTARTMENT OF PUBLIC HEALTH, CHICAGO, IL 60604(312) 747-9443(312) 747-9447 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Corazon B Custodio Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CORAZON B CUSTODIO MD (NPI 1003911728) is an individual family medicine provider in Chicago, Illinois and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1003911728
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameCORAZON B CUSTODIOCredential: MD
Location Address333 S. STATE STREET, REVENUE # 200 CHICAGO DEPTARTMENT OF PUBLIC HEALTHChicago, IL 60604
Mailing Address333 S. State Street, Revenue # 200 Chicago Deptartment Of Public HealthChicago, IL 60604 · (312) 747-9443 · Fax (312) 747-9447
Phone(312) 747-9443
Fax(312) 747-9447
Sole ProprietorNo
Enumeration DateSeptember 14, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1003911728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

333 S. STATE STREET, Chicago, IL 60604
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RITA M GEORGE MD
Family Medicine
333 S. STATE STREET, REVENUE #200 CHICAGO DEPTARTMENT OF PUBLIC HEALTH
CHICAGO, IL 60604
Cook County (312) 747-9443

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Corazon Custodio's NPI number?

The NPI number for Corazon Custodio is 1003911728. It was assigned to this individual provider in the NPPES registry on September 14, 2006.

Where is Corazon Custodio located?

Corazon Custodio practices at 333 S. State Street Revenue # 200 Chicago Deptartment Of Public Health, Chicago, IL 60604. The listed phone number is (312) 747-9443.

What is Corazon Custodio's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Corazon Custodio was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.