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General NPI Number Information
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NPI Number | 1124178330
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Entity Type | Organization
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Legal Business Name | RAMON A GARCIA MD PC
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Dates
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Enumeration Date | 01/11/2007
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Last Update Date | 03/10/2025
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Provider Practice Location Address
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Address Line | 3538 W FULLERTON AVE
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City | CHICAGO
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State | IL
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Zip | 60647-2443
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Country | US
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Telephone | 773-772-1212
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Fax | 773-772-8666
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Provider Business Mailing Address
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Address Line | 3538 W FULLERTON AVE
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City | CHICAGO
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State | IL
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Zip | 60647-2443
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Country | US
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Telephone | 773-772-1212
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Fax | 773-772-8666
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RAMON ANDRES GARCIA JR.
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Credential | MD
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Telephone | 773-772-1212
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 042 006331
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License Number State | IL
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