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NPI Code Detail

MEDICARE: DR. CHASE SALAZAR MD

MEDICARE: DR. CHASE SALAZAR 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
1207Q00000XFamily Medicine Physician125.077710IL
2390200000XStudent in an Organized Health Care Education/Training ProgramIL
3207Q00000XFamily Medicine Physician036171175IL

General Provider Information

NPI Number : 1447837018
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHASE SALAZAR MD
Provider Business Mailing Address
First Line : 4600 N RAVENSWOOD AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60640-4510
Country : US
Telephone Number : 773-561-7500
Fax Number : 773-561-7612
Provider Business Practice Location Address
First Line : 676 N SAINT CLAIR ST STE 415
Second Line :
City : CHICAGO
State : IL
Zip : 60611-3133
Country : US
Telephone Number : 312-926-3627
Fax Number : 312-694-4102
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2021
Last Update Date : 01/09/2025

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Directions to “ DR. CHASE SALAZAR MD” Practice Location

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