Individual
MS. SUSANA CORALIA ALVAREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
13000 MAPLE AVE, BLUE ISLAND, IL 60406-2318
(708) 385-6100
(708) 385-2051
Mailing address
13000 MAPLE AVE, BLUE ISLAND, IL 60406-2318
(708) 385-6100
(708) 385-2051
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
01051236A
IN
208000000X
Pediatrics Physician
Primary
036.122436
IL
Other
Enumeration date
10/29/2008
Last updated
05/01/2012
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