Provider Demographics
NPI:1164040887
Name:AGUILERA ASTUDILLO, MARIA CARIDAD (MD)
Entity type:Individual
Prefix:MS
First Name:MARIA
Middle Name:CARIDAD
Last Name:AGUILERA ASTUDILLO
Suffix:
Gender:F
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:1850 GATEWAY DR STE 205
Mailing Address - Street 2:
Mailing Address - City:SYCAMORE
Mailing Address - State:IL
Mailing Address - Zip Code:60178-3192
Mailing Address - Country:US
Mailing Address - Phone:815-754-1097
Mailing Address - Fax:815-748-8957
Practice Address - Street 1:1850 GATEWAY DR STE 205
Practice Address - Street 2:
Practice Address - City:SYCAMORE
Practice Address - State:IL
Practice Address - Zip Code:60178-3192
Practice Address - Country:US
Practice Address - Phone:815-754-1097
Practice Address - Fax:815-748-8957
Is Sole Proprietor?:No
Enumeration Date:2020-07-09
Last Update Date:2025-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036173844207R00000X, 207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine