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Organization

ERNESTO CABRERA MD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MARISSA SAYSON FERNANDEZ MEDICAL ASSISTANT (MEDICAL ASSISTANT)
(773) 489-6605
Entity
Organization

Contact information

Practice address
1431 N WESTERN AVE, SUITE 202, CHICAGO, IL 60622
(773) 489-6605
(312) 633-5863
Mailing address
1431 N WESTERN AVE, SUITE 202, CHICAGO, IL 60622
(773) 489-6605
(312) 633-5863

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary

Other

Enumeration date
12/12/2007
Last updated
04/20/2008
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