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Individual

DR. AUREA D PRIMERO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1044 N MOZART ST, SUITE 505, CHICAGO, IL 60622
(773) 235-6047
Mailing address
1044 N MOZART ST, SUITE 505, CHICAGO, IL 60622
(773) 235-6047

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03605697
IL
Enumeration date
12/06/2006
Last updated
07/08/2007
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