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Organization
ROLANDO A LARA MD SC
Active
Organization
ROLANDO A LARA MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROLANDO LARA M.D. (PRESIDENT)
(773) 927-9774
Entity
Organization
Contact information
Practice address
1708 W 47TH ST, CHICAGO, IL 60609-3822
(773) 927-9774
Mailing address
1708 W 47TH ST, CHICAGO, IL 60609-3822
(773) 927-9774
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036046977
IL
Other
Enumeration date
02/19/2010
Last updated
04/30/2010
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