Tomas Mauricio Prudencio
Tomas Mauricio Prudencio is a Surgery Physician in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2025.
- Licensed in
- IL
- In the registry since
- 2025
Practice location Address checks out
251 E Huron StChicago, IL 60611-2908
Phone: (312) 926-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgery Physician (primary) | Taxonomy 208600000X · Licence 125.085227 (IL) |
|---|
Record details
| NPI number | 1730980947 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 24, 2025 |
| Last updated in NPPES | June 16, 2025 |
| Certification date | June 16, 2025 |
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