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NPI Code Detail

MEDICARE: DR. JESUSA S ANDRES-PALINES MD

MEDICARE: DR. JESUSA S ANDRES-PALINES MD
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 Physician42973WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1043228612
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JESUSA S ANDRES-PALINES MD
Provider Business Mailing Address
First Line : PO BOX 735044
Second Line :
City : CHICAGO
State : IL
Zip : 60673-5044
Country : US
Telephone Number : 800-326-2250
Fax Number :
Provider Business Practice Location Address
First Line : 1881 CHICAGO ST
Second Line :
City : DEPERE
State : WI
Zip : 54115
Country : US
Telephone Number : 920-403-8000
Fax Number : 920-403-8208
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2006
Last Update Date : 03/09/2026

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