Individual
DR. RICARDO B. DE V. FONTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1653 W CONGRESS PKWY, CHICAGO, IL 60612-3833
(312) 942-0000
Mailing address
850 N STATE ST, UNIT 20G, CHICAGO, IL 60610-8665
(312) 237-0732
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
125-055776
IL
Other
Enumeration date
08/14/2009
Last updated
04/23/2021
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