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Organization
PLATINUM MEDICAL ASSOCIATES, LTD
Active
Organization
PLATINUM MEDICAL ASSOCIATES, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRIS TARA BULAON DELOS REYES M.D. (PRESIDENT)
(773) 742-3941
Entity
Organization
Contact information
Practice address
2800 N SHERIDAN RD, SUITE 110, CHICAGO, IL 60657-6156
(773) 742-3941
Mailing address
2401 W ALTA RD, APT 3306, PEORIA, IL 61615-1279
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036130229
IL
Other
Enumeration date
01/29/2015
Last updated
01/29/2015
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