Maximiliano Luna Jr., M.D.
Family Medicine in Chicago, IL. Individual provider (NPI-1).
NPI number1003132002
StatusActive
Last updated in NPPESSep 29, 2020
Details
- NPI
- 1003132002
- Entity type
- Individual (NPI-1)
- Name
- Maximiliano Luna Jr.
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 15, 2010
- Certification date
- Sep 29, 2020
- Last updated
- Sep 29, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 125-058819 | IL | Yes |
| 207Q00000X | Family Medicine | 036-131946 | IL |
Practice location
2001 S California AveChicago, IL 60608-2486
Phone 773-584-6200
Mailing address
2001 S California AveChicago, IL 60608-2486
Phone 773-584-6200
Other practice locations
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