MA Olivia R. San Diego, MD, SC
MA Olivia R. San Diego, MD, SC provides Pediatrics Physician services in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2012.
- Licensed in
- IL
- In the registry since
- 2012
Practice location Address checks out
1044 N Mozart St Ste 205Chicago, IL 60622-2789 Not confirmed with CMS for 14 years — call before visiting
Phone: (773) 489-2913
Fax: (773) 489-7330
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatrics Physician (primary) | Taxonomy 208000000X · Licence 036-130487 (IL) |
|---|
Record details
| NPI number | 1245580653 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ma. Olivia San Diego — Director · (973) 653-6119 |
| NPI enumerated | September 12, 2012 |
| Last updated in NPPES | September 12, 2012 |
| Mailing address | 1044 N Mozart St, Suite 205, Chicago, IL 60622-2789 |
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