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Search › Illinois › 207K00000X

Juanita Mora, MD

NPI 1750557179 · on the registry since 2008

Practice

Address
4952 W Irving Park Rd
Chicago Allergy Center Suite 100
Chicago, IL 60641
Phone
(773) 614-7315
Fax
(773) 644-1370
Organisation at this address
Grand Vein Specialists Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
207K00000X
207K00000X
Also registered as
207R00000X
208000000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2015-04-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois