Individual
MR. SANTIAGO ALFONSO ORELLANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4130 N MARMORA AVE, FL 2, CHICAGO, IL 60634-1729
(773) 653-5274
Mailing address
4130 N MARMORA AVE, FL 2, CHICAGO, IL 60634-1729
(773) 653-5274
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
—
IL
Other
Enumeration date
03/17/2009
Last updated
03/23/2009
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