Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 036-090820 | IL |
N | 2080P0214X | Pediatric Pulmonologist | 036-090820 | IL |
Y | 208D00000X | General Practice Physician | 036-090820 | IL |
NPI | 1295768588 |
---|---|
Provider Name | Dr. Hector Luis Flores-Arroyo |
First Address | Chicago, IL 60622-5512 |
Second Address | Chicago, IL 60622-5512 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/07/2006 |
Last Update Date | 13/07/2011 |