OTERO MEDICAL CENTER, S.C.
Marriage and Family Therapists at Fullerton Ave, Chicago, IL

License number
Illinois 036102552
Category
Osteopathic Medicine
Type
Family Medicine
Owner
Name: DR. WILLIAM E OTERO MD
Title: PRESIDENT
Phone: (773) 772-4900
Address
Address
4911 W Fullerton Ave, Chicago, IL 60639
National Provider ID: 1639306640
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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OTERO MEDICAL CENTER, S.C

Chicago, IL

Industry:
Medical Doctor's Office
Doing business as:
Otero Medical Center Sc
Registration:
Aug 3, 2000
Addresses:
Chicago, IL 60647 (Physical)
2363 N California Ave, Chicago, IL 60647
State ID:
61199098
Business type:
DOMESTIC BCA
Expiration:
PERPETUAL
Branch Manager, Principals:
William E. Otero (Family Practitioner, Medical Doctor),Sandra Emeric Otero (Office Manager, Psychologist),Sarai Najera (Medical Assistant),...
Agent:
William E Otero,2949 Keystone Rd, Northbrook, IL 60062 (Physical)

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