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NPI Code Detail

MEDICARE: CARLOS RICARDO SEQUERA SANCHEZ M.D.

MEDICARE:   CARLOS RICARDO SEQUERA SANCHEZ  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
1207R00000XInternal Medicine Physician125064512IL

Other Identifiers

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

General Provider Information

NPI Number : 1770999476
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARLOS RICARDO SEQUERA SANCHEZ M.D.
Provider Business Mailing Address
First Line : 856 W NELSON ST
Second Line : APT 508
City : CHICAGO
State : IL
Zip : 60657-5152
Country : US
Telephone Number : 312-550-8123
Fax Number :
Provider Business Practice Location Address
First Line : 856 W NELSON ST
Second Line : APT 508
City : CHICAGO
State : IL
Zip : 60657-5152
Country : US
Telephone Number : 312-550-8123
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/02/2014
Last Update Date : 07/02/2014

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Directions to “ CARLOS RICARDO SEQUERA SANCHEZ M.D.” Practice Location

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