Individual
MRS. PATRICIA CARRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2644 W CERMAK RD, CHICAGO, IL 60608-3515
(773) 805-8314
Mailing address
5118 S RICHMOND ST, CHICAGO, IL 60632-2133
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
—
—
Other
Enumeration date
07/19/2011
Last updated
07/19/2011
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