MEDICARE: JORGE VALENTIN FIGUEREDO 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
1	207Q00000X	Family Medicine Physician	01067070A	IN
2	208600000X	Surgery Physician	036058621	IL
3	208D00000X	General Practice Physician	036058621	IL
4	207Q00000X	Family Medicine Physician	036058621	IL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00115376	OTHER		R/R MEDICARE

Other Identifiers

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

General Provider Information

NPI Number	:	1447353230
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JORGE VALENTIN FIGUEREDO M.D.

Provider Business Mailing Address
First Line	:	1634 W WARREN BLVD
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60612-3224
Country	:	US
Telephone Number	:	708-269-8162
Fax Number	:

Provider Business Practice Location Address
First Line	:	1634 W WARREN BLVD
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60612-3224
Country	:	US
Telephone Number	:	708-269-8162
Fax Number	:

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

Provider Enumeration Date	:	09/07/2006
Last Update Date	:	02/22/2021

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Directions to “ JORGE VALENTIN FIGUEREDO M.D.” Practice Location

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