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Contact Information

ANDRES O. BOTUYAN MD., SC
1044 N MOZART ST
SUITE 505
CHICAGO, IL60622-2789
 Phone: 773-645-0393
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for ANDRES O. BOTUYAN MD., SC

NPI # 1548579832
LBN Legal business name ANDRES O. BOTUYAN MD., SC
Authorized official ANDRES BOTUYAN - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 10/04/2010
Last updated 10/04/2010 - About 16 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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