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MR. ANASTACIO F LADAO III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
(RRT)(CT)

Contact information

Practice address
4500 BLANCHAN AVE, BROOKFIELD, IL 60513-2206
(708) 612-4566
Mailing address
4500 BLANCHAN AVE, BROOKFIELD, IL 60513-2206

Taxonomy

Speciality
Code
Description
License number
State
2471C3401X
Computed Tomography Radiologic Technologist
Primary
500512230
IL

Other

Enumeration date
02/16/2016
Last updated
02/16/2016
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