BALTAZAR REMIGIO ESPIRITU MD

Allergy and Immunology

Maywood, Illinois

Provider NPI: 1710964663

Provider Information:
 BALTAZAR REMIGIO  ESPIRITU MD


Practice Location:
2160 S FIRST AVE 101-1740, LOYOLA UNIVERSITY MEDICAL CENTER MAYWOOD, IL 60153 US
Tel: 708-216-9000  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

Primary	Code	Category/Description	State	License Number
Y	207K00000X	Physicians Allergy & Immunology	IL	36063867

Other Provider Identifiers:

Issuer	Number	State	Type
	36063867	IL	05

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin

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