Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Corazon B Custodio, MD

Individual provider Family Medicine Physician · NPI 1003911728

Corazon B Custodio, MD is a Family Medicine Physician in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

333 S State Street Revenue # 200 Chicago Deptartment OF Public Health
Chicago, IL 60604
Phone: (312) 747-9443
Fax: (312) 747-9447
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X (IL)

Record details

NPI number1003911728
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 14, 2006
Last updated in NPPESJuly 8, 2007

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