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Edgar J Vargas
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NPI Number Detailed Information
Provider Information:
Name: | Edgar J Vargas |
Gender: | M |
Provider License Number If Given: | 36047133 |
NPI Information:
NPI: | 1295734895 |
Entity Type (Individual or Organization): |
1-ind |
Enumeration Date: | 7/18/2005 |
Last Update Date: | 4/22/2014 |
Provider Business Mailing Address:
Address: | 1260 W HIGGINS RD. Hoffman Estates, IL 60195 |
Phone Number: | 8479838356 |
Fax Number: | 8889095815 |
Provider Business Practice Location Address:
Address: | 1260 W HIGGINS RD Hoffman Estates, IL 60195 |
Phone Number: | 8479838356 |
Fax Number: | 8889095815 |
Provider Taxonomy:
Primary: | 207RG0100X |
Secondary (if any): | |
State: | IL |