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NPI Code Detail

MEDICARE: DR. SOFIA AMANDA GARCIA-BUDER M.D.

MEDICARE:  DR. SOFIA AMANDA GARCIA-BUDER  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
1207RE0101XEndocrinology, Diabetes & Metabolism Physician036074618IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
201632690OTHERILBCBSI
34315864OTHERILCIGNA

General Provider Information

NPI Number : 1780622183
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SOFIA AMANDA GARCIA-BUDER M.D.
Provider Business Mailing Address
First Line : 2719 N HALSTED ST
Second Line : C-1
City : CHICAGO
State : IL
Zip : 60614-1413
Country : US
Telephone Number : 773-388-5685
Fax Number : 773-388-5687
Provider Business Practice Location Address
First Line : 2719 N HALSTED ST
Second Line : C-1
City : CHICAGO
State : IL
Zip : 60614-1413
Country : US
Telephone Number : 773-388-5685
Fax Number : 773-388-5687
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2006
Last Update Date : 05/03/2011

Similar Medicare Providers

1356389035 — SOFIA GARCIA-BUDER, M.D., S.C.
Practice Location Address:
2719 N HALSTED ST , C-1
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60614-1413
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Practice Fax: 773-388-5687
1700955358 — ALEX V BUDER M.D.,
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2719 N HALSTED ST
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60614-1413
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1194214551 — MS. AMALIA C PRYOR LCSW
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