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CLINICA GUADALUPE PC
NPI 1336363563
General Practice in Chicago, IL

Active since April 12, 2007
3511 W 26TH ST, CHICAGO, IL 60623(773) 277-9100(773) 277-0860 Get Directions Write a Review

NPPES record last updated: January 15, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Clinica Guadalupe Pc NPPES

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

CLINICA GUADALUPE PC (NPI 1336363563) is a healthcare organization registered as a general practice in Chicago, Illinois and active in the NPI registry since April 2007. The organization lists Juan Antonio Torres-garza, President, as its authorized official.

NPPES Registry Identity

NPI1336363563
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameCLINICA GUADALUPE PC
Location Address3511 W 26TH STChicago, IL 60623-3910
Mailing Address3511 W 26th StChicago, IL 60623-3910 · (773) 277-9100 · Fax (773) 277-0860
Phone(773) 277-9100
Fax(773) 277-0860
Organization SubpartNo
Authorized OfficialJuan Antonio Torres-garzaPresident · (773) 277-9100
Enumeration DateApril 12, 2007
Last NPPES UpdateJanuary 15, 2010
✔ NPI 1336363563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in IL · 036068407
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
3511 W 26TH ST, Chicago, IL 60623
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Other Identifiers 3

Medicare PIN946990IL
Medicaid036068407IL
Other0001635727IL · Blue Cross Blue Shield

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Clinica Guadalupe PC's NPI number?

The NPI number for Clinica Guadalupe PC is 1336363563. It was assigned to this organization in the NPPES registry on April 12, 2007.

Where is Clinica Guadalupe PC located?

Clinica Guadalupe PC is located at 3511 W 26th St, Chicago, IL 60623. The listed phone number is (773) 277-9100.

What is Clinica Guadalupe PC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Clinica Guadalupe PC was last updated on January 15, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.