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Organization

ALENTA IMMEDIATE CARE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
IRENE BARAL MD (PHYSICIAN)
(773) 575-1066
Entity
Organization

Contact information

Practice address
3172 N MILWAUKEE AVE, CHICAGO, IL 60618-6633
(773) 575-1066
Mailing address
2911 W MORSE AVE, CHICAGO, IL 60645-2931
(773) 575-1066

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036087269
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036087269
IL
Enumeration date
05/14/2014
Last updated
02/12/2015
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