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General NPI Number Information
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NPI Number | 1720585383
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Entity Type | Individual
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Provider Name | MARCO S ALMEDA MD
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Gender | Male
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Dates
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Enumeration Date | 04/10/2018
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Last Update Date | 08/19/2024
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Provider Practice Location Address
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Address Line | 225 E CHICAGO AVE
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City | CHICAGO
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State | IL
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Zip | 60611-2991
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Country | US
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Telephone | 312-227-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 18011 CROOKED CREEK CT
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City | ORLAND PARK
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State | IL
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Zip | 60467-5210
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Country | US
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Telephone | 708-691-4958
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2080P0214X
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Taxonomy Name | Pediatric Pulmonology Physician
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License Number | 036.170293
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 2080S0012X
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Taxonomy Name | Pediatric Sleep Medicine Physician
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License Number | 036.170293
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License Number State | IL
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