Individual
CHARITO M DELATORRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1909 CLINTON AVE, BERWYN, IL 60402-1642
(773) 369-2448
Mailing address
1909 CLINTON AVE, BERWYN, IL 60402-1642
(773) 369-2448
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36047843
IL
Other
Enumeration date
08/05/2007
Last updated
07/30/2008
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