Leonel Antonio Urdaneta JR. MD

NPI 1073541660 - Internal Medicine - 207R00000X

NPI Details
NPI 1073541660
Gender Male
Enumeration Date 06/30/2006
Last Updated 04/27/2009
Entity Type Individual
Active Over 10 years ago
Practice Location
211 E ONTARIO ST
12TH FLOOR
CHICAGO IL, 60611-3468, US
Phone (312) 469-4905
Fax (312) 469-4905
Business Location
211 E ONTARIO ST
12TH FLOOR
CHICAGO IL, 60611-3468, US
Phone (312) 469-4905
Fax (312) 469-4905
Toxanomy
Taxonomy Code 207R00000X
License State Illinois
License Number 036119700
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According to our database, Leonel Antonio Urdaneta JR. MD NPI is 1073541660, taxonomy code is 207R00000X and license number is 036119700, license state is located at Illinois. Leonel Antonio Urdaneta JR. MD physically located at 211 E Ontario St, Chicago IL, 60611-3468. NPI Number Leonel Antonio Urdaneta JR. MD has the Individual type.

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1073541660 NPI number is provided on an as is basis without warranty of any kind. 1073541660 is maintained by the National Plan & Provider Enumeration System. The contents of Leonel Antonio Urdaneta JR. MD are for informational purposes only.