Search › Illinois › 207ZP0102X
David Henriquez Ticas, M.D
NPI 1922539055 · on the registry since 2017
Practice
- Address
- 710 N Fairbanks Ct Ste 2-458
Chicago, IL 60611 - Phone
- (312) 926-3211
- Fax
- (312) 503-8259
- Organisation at this address
- Norhwestern Medicine
Northwestern Health Care
Dialysis Centers Of America - Illinois, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 45
Additional practice sites
- 1 Baylor Plz, Houston, TX
Registry record
- Primary taxonomy
- 207ZP0102X
207ZP0102X
- Also registered as
- 390200000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-09-06
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