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NPI Code Detail

MEDICARE: DR. NOOSHIG LUZ SALVADOR M.D.

MEDICARE: DR. NOOSHIG LUZ SALVADOR M.D.
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
1207RH0002XHospice and Palliative Medicine (Internal Medicine) Physician036098152IL

General Provider Information

NPI Number : 1144200502
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NOOSHIG LUZ SALVADOR M.D.
Provider Business Mailing Address
First Line : 155 E BRUSH HILL RD
Second Line :
City : ELMHURST
State : IL
Zip : 60126-5658
Country : US
Telephone Number : 331-221-1000
Fax Number : 331-221-3718
Provider Business Practice Location Address
First Line : 172 E SCHILLER ST
Second Line :
City : ELMHURST
State : IL
Zip : 60126-2816
Country : US
Telephone Number : 830-758-5903
Fax Number : 630-758-5201
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/20/2006
Last Update Date : 03/24/2021

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