MEDICARE: BIANCA GINA GARCIA DO

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
1	207Q00000X	Family Medicine Physician	125.078862	IL
2	207Q00000X	Family Medicine Physician	036-169689	IL

General Provider Information

NPI Number	:	1811574320
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BIANCA GINA GARCIA DO

Provider Business Mailing Address
First Line	:	29373 NETWORK PL
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60673-1293
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4847 HOFFMAN BLVD
Second Line	:
City	:	HOFFMAN ESTATES
State	:	IL
Zip	:	60192-3722
Country	:	US
Telephone Number	:	847-685-4646
Fax Number	:	847-685-4647

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/29/2021
Last Update Date	:	04/10/2025

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