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Individual

DR. RALPH EMMANUEL DESIR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO, MS

Contact information

Practice address
1725 W HARRISON ST STE 118, CHICAGO, IL 60612-3817
(312) 942-4817
Mailing address
1529 S STATE ST APT 19-G, CHICAGO, IL 60605-3108
(305) 527-2544

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
125.075269
IL

Other

Enumeration date
06/29/2019
Last updated
06/29/2019
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