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Individual

ANNE FRANKE LOCATELLI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1913 W NORTH AVE, CHICAGO, IL 60622-1316
(773) 862-7130
Mailing address
1913 W NORTH AVE, CHICAGO, IL 60622-1316

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036-104418
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
036-104418
STATE LICENSE / MEDICAID
IL
Enumeration date
06/03/2006
Last updated
01/02/2014
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