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NPI Code Detail

MEDICARE: PB SALES MD RM SALES MD & ASSOCIATES SC

MEDICARE: PB SALES MD RM SALES MD & ASSOCIATES SC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician
2208600000XSurgery Physician
3207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1144311515
Entity Type Code : Organization
Provider Name (Legal Business Name) : PB SALES MD RM SALES MD & ASSOCIATES SC
Provider Business Mailing Address
First Line : 11101 S STATE ST
Second Line :
City : CHICAGO
State : IL
Zip : 60628-4206
Country : US
Telephone Number : 773-821-7515
Fax Number : 773-821-6970
Provider Business Practice Location Address
First Line : 11101 S STATE ST
Second Line :
City : CHICAGO
State : IL
Zip : 60628-4206
Country : US
Telephone Number : 773-821-7515
Fax Number : 773-821-6970
Authorized Official
Title or Position : PRESIDENT
Name : PASCUAL BAQUIRAN SALES
Credential : MD
Telephone Number : 773-821-7515
Provider Enumeration Date : 09/28/2006
Last Update Date : 09/11/2025

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