Gustavo A. Pedraza, M.d., Ltd.

  • 1275705394 NPI Number
  • |
  • Actived: 12 years ago
  • |
According to our database, the NPI number for Gustavo A. Pedraza, M.d., Ltd. is 1275705394 and activated since 12 years ago. Gustavo A. Pedraza, M.d., Ltd. is an Organization provider specializes in Primary Care. The provider information was last updated on 03/28/2008.

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Overview of Gustavo A. Pedraza, M.d., Ltd.

  • NPI number: 1881217941
  • Provider type: Organization
  • Active since: 03/28/2008
  • Last updated: 03/28/2008

Primary Scrop of Practice

  • Taxonomy Code: 261QP2300X
  • Specialty: Primary Care
  • License Number: unknow
  • License State: IL

Provider Mailing Address

  • Address: 25220 S Reed St
    P.o. Box 197
    Channahon, IL 60410
  • Phone: 815-467-4114
  • Fax:

Provider Practice Location

  • Address: 25220 S Reed St
    Channahon, IL 60410
  • Phone: 815-467-4114
  • Fax:

Authorized Official

  • Name: Gustavo A. Pedraza M.D.
  • Position/Title: President
  • Telephone Number: 815-467-4114

Scope of Practice

  • Taxonomy Code: 261QP2300X
  • Specialty: Primary Care
  • License Number:
  • License State: IL
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 099-00605
  • Identifier Type: Other
  • Identifier State: IL
  • Issuer: BLUE CROSS BLUE SHIELD

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Gustavo A. Pedraza, M.d., Ltd.?
  • A: The npi number for Gustavo A. Pedraza, M.d., Ltd. is 1275705394.
  • Q: What are Gustavo A. Pedraza, M.d., Ltd.'s specialties?
  • A: Gustavo A. Pedraza, M.d., Ltd.'s specialties are Primary Care and different specialities.
  • Q: Where is Gustavo A. Pedraza, M.d., Ltd. business practice location?
  • A: Gustavo A. Pedraza, M.d., Ltd. business practice location is 25220 S Reed St, Channahon, IL 60410.
  • Q: How to contact Gustavo A. Pedraza, M.d., Ltd.?
  • A: You can contact Gustavo A. Pedraza, M.d., Ltd. via 815-467-4114.
  • Q: What is the authorized official for Gustavo A. Pedraza, M.d., Ltd.?
  • A: The authorized office name is Gustavo A. Pedraza M.D. with position/title is President and you can reach the authorized official via phone number 8154674114.