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Individual

RALPH MATAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
1901 W HARRISON ST, ROOM 3620, CHICAGO, IL 60612-3714
(312) 864-3034
Mailing address
1901 W HARRISON ST, ROOM 3620, CHICAGO, IL 60612-3714
(312) 864-3034

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036139610
IL

Other

Enumeration date
06/21/2013
Last updated
06/24/2016
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