Alejandro Del Real NP

NPI 1780097543 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1780097543
Gender Male
Enumeration Date 06/09/2014
Last Updated 06/09/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
676 N SAINT CLAIR ST
SUITE 1525A
CHICAGO IL, 60611-2927, US
Phone (312) 266-6240
Fax (312) 266-1411
Business Location
676 N SAINT CLAIR ST
SUITE 1525A
CHICAGO IL, 60611-2927, US
Phone (312) 266-6240
Fax (312) 266-1411
Toxanomy
Taxonomy Code 363LF0000X
License State Illinois
License Number 041.328401
Remove 1780097543 NPI Number
 

According to our database, Mr. Alejandro Del Real NP NPI is 1780097543, taxonomy code is 363LF0000X and license number is 041.328401, license state is located at Illinois. Alejandro Del Real NP physically located at 676 N Saint Clair St, Chicago IL, 60611-2927. NPI Number Alejandro Del Real NP has the Individual type.

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1780097543 NPI number is provided on an as is basis without warranty of any kind. 1780097543 is maintained by the National Plan & Provider Enumeration System. The contents of Alejandro Del Real NP are for informational purposes only.