JOSE VENCEDOR GARCIA MALICDEM

CHICAGO, IL
NPI1447120464
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: IL  156237)
Enumeration Date2025-11-05
Last Update Date2025-11-05
Business Address
JOSE VENCEDOR GARCIA MALICDEM
5841 S MARYLAND AVE
CHICAGO, IL 60637-1443
Phone number: 331-262-9646
Mailing Address
JOSE VENCEDOR GARCIA MALICDEM
1537 N BOSWORTH AVE APT 2
CHICAGO, IL 60642-2480
Phone number: