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Organization

MILA C R BACALLA MD SC

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Organization

MILA C R BACALLA MD SC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MILA C R BACALLA MD (PRESIDENT)
(773) 227-5707
Entity
Organization

Contact information

Practice address
2222 W DIVISION, SUITE 340, CHICAGO, IL 60622-3086
(773) 227-5707
(847) 675-1131
Mailing address
4459 W JARVIS AVE, LINCOLNWOOD, IL 60712-1813
(773) 227-5707
(847) 675-1131

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—

Other

Enumeration date
12/27/2005
Last updated
08/22/2020
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