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Carlos Andres Rueda Mantilla

Internist

4646 N Marine Dr
Chicago , Illinois 60640-5759

Write a Review Save Call QR Code
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Carlos Andres Rueda Mantilla

Internist

4646 N Marine Dr
Chicago , Illinois 60640-5759

(312) 826-1105

Write a Review Save Call

Carlos Andres Rueda Mantilla

Internist

4646 N Marine Dr
Chicago , Illinois 60640-5759

(312) 826-1105 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Internist

Languages spoken

  • English

Location

4646 N Marine Dr Chicago , Illinois 60640-5759

First Address

  • Carlos Andres Rueda Mantilla
  • 4250 N Marine Dr Apt 2333
  • Chicago, IL
  • Zip : 60613-1747
  • Phone : (312) 826-1105

Second Address

  • Carlos Andres Rueda Mantilla
  • 4646 N Marine Dr
  • Chicago, IL
  • Zip : 60640-5759
  • Phone : (312) 826-1105

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FAQs


Where did Carlos Andres Rueda Mantilla attend graduate school?

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Where did Carlos Andres Rueda Mantilla do his residency?

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Where did Carlos Andres Rueda Mantilla do his fellowship?

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Is Carlos Andres Rueda Mantilla board certified?

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What type of doctor is Carlos Andres Rueda Mantilla

Internist

In what state does Carlos Andres Rueda Mantilla practice in?

Illinois

Where is Carlos Andres Rueda Mantilla ’s practice located?

4646 N Marine Dr , Chicago, Illinois, 60640-5759

What is Carlos Andres Rueda Mantilla ’s gender?

Male

Is Carlos Andres Rueda Mantilla a sole practitioner?

No

Is Carlos Andres Rueda Mantilla accepting new patients?

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What languages does Carlos Andres Rueda Mantilla speak?

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Does Carlos Andres Rueda Mantilla accept insurance?

Yes, Carlos Andres Rueda Mantilla accepts insurance

Does Carlos Andres Rueda Mantilla offers telemedicine?

Carlos Andres Rueda Mantilla has not indicated if he offers telemedicine

What is Carlos Andres Rueda Mantilla ’s professional license number?

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What is Carlos Andres Rueda Mantilla ’s NPI number?

1003426743

Does Carlos Andres Rueda Mantilla have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 207R00000X Internist 125075440 IL
Y 111NI0900X Internist 125075440 IL

National Provider Identifier

NPI 1003426743
Provider Name Carlos Andres Rueda Mantilla
First Address Chicago, IL 60613-1747
Second Address Chicago, IL 60640-5759
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 07/08/2020
Last Update Date 07/08/2020

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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