Individual
DR. MARISA DEL MUNDO- GALICIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6649 N CICERO AVE, LINCOLNWOOD, IL 60712-3301
(847) 329-1847
Mailing address
6649 N CICERO AVE, LINCOLNWOOD, IL 60712-3301
(847) 329-1847
Taxonomy
Speciality
Code
Description
License number
State
207ZB0001X
Blood Banking & Transfusion Medicine Physician
Primary
036104832
IL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
036104832
IL
Other
Enumeration date
06/11/2008
Last updated
06/11/2008
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