MEDICARE: ROBERTO AGUIRRE

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
1	171R00000X	Interpreter		IL

General Provider Information

NPI Number	:	1346793098
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERTO AGUIRRE

Provider Business Mailing Address
First Line	:	5226 W DEMING PL
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60639-1406
Country	:	US
Telephone Number	:	773-290-0111
Fax Number	:

Provider Business Practice Location Address
First Line	:	5226 W DEMING PL
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60639-1406
Country	:	US
Telephone Number	:	773-290-0111
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/29/2016
Last Update Date	:	07/29/2016

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Directions to “ ROBERTO AGUIRRE ” Practice Location

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