MEDICARE: FRANCISCO DANIEL MAHECHA

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

General Provider Information

NPI Number	:	1659611549
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRANCISCO DANIEL MAHECHA

Provider Business Mailing Address
First Line	:	5628 N KEYSTONE AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60646-6713
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5628 N KEYSTONE AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60646-6713
Country	:	US
Telephone Number	:	773-712-3289
Fax Number	:

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

Provider Enumeration Date	:	02/28/2013
Last Update Date	:	02/28/2013

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Directions to “ FRANCISCO DANIEL MAHECHA ” Practice Location

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