Healthcare Provider Details

I. General information

NPI: 1235295999
Provider Name (Legal Business Name): RAMON ANDRES GARCIA JR. M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/28/2006
Last Update Date: 03/10/2025
Certification Date: 03/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3538 W FULLERTON AVE
CHICAGO IL
60647-2443
US

IV. Provider business mailing address

3538 W FULLERTON AVE
CHICAGO IL
60647-2443
US

V. Phone/Fax

Practice location:
  • Phone: 773-772-1212
  • Fax: 773-772-8666
Mailing address:
  • Phone: 773-772-1212
  • Fax: 773-772-8666

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: