Individual
MR. MOR BEN BARAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
420 E SUPERIOR ST FL 12, CHICAGO, IL 60611-4494
(312) 503-7975
Mailing address
5616 N WINTHROP AVE APT 1F, CHICAGO, IL 60660-4420
(708) 691-7706
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036138016
IL
208600000X
Surgery Physician
125058326
IL
Other
Enumeration date
06/23/2010
Last updated
09/30/2020
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