Dr. Esmeraldo E Cordova
General Practice Physician
3625 W Roosevelt Rd
Chicago
, Illinois 60624
Dr. Esmeraldo E Cordova
General Practice Physician
3625 W Roosevelt Rd
Chicago
, Illinois 60624
(630) 964-8397
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About
Features
Specialties
- General Practice Physician
Languages spoken
- English
Location
First Address
- Dr. Esmeraldo E Cordova
- 7317 Bayberry Lane
- Darien, IL
- Zip : 60561
- Fax : (630) 964-8397
- Phone : (630) 964-8376
Second Address
- Dr. Esmeraldo E Cordova
- 3625 W Roosevelt Rd
- Chicago, IL
- Zip : 60624
- Fax : (630) 964-8397
- Phone : (773) 522-0110
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Is Dr. Esmeraldo E Cordova a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208D00000X | General Practice Physician | 03652477 | IL |
National Provider Identifier
| NPI | 1003837071 |
|---|---|
| Provider Name | Dr. Esmeraldo E Cordova |
| First Address | Darien, IL 60561 |
| Second Address | Chicago, IL 60624 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/07/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| D12915 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
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?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.