Individual
IRMA F REALIZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7250 N CICERO AVE, SUITE 101, LINCOLNWOOD, IL 60712-1643
(847) 673-2877
(847) 673-2989
Mailing address
7250 N CICERO AVE, SUITE 101, LINCOLNWOOD, IL 60712-1643
(847) 673-2877
(847) 673-2989
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
03654724
IL
Other
Enumeration date
04/21/2010
Last updated
04/21/2010
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