Doctor Name: | DR. ANTHONY JOSEPH GARCIA |
NPI Number: | 1407067713 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 036.109200 |
Business Practice Address: | 826 S Miller St Suite 1 Chicago, IL - 606074207 |
Business Phone Number: | 3187732850 |
Business Fax Number: | |
Mailing Address: | 826 S Miller St, Suite 1 CHICAGO |
State: | IL |
Postal Code: | 606074207 |
Phone Number: | 3187732850 |
Fax Number: | |
NPI Enumeration Date: | 05/25/2007 |
NPI Last Update Date: | 12/03/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 036.109200 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |