Individual
MARIA ROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2133 W LEXINGTON ST, CHICAGO, IL 60612-3707
(312) 746-4880
(312) 746-6526
Mailing address
2133 W LEXINGTON ST, CHICAGO, IL 60612-3707
(312) 746-4880
(312) 746-6526
Taxonomy
Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
HDE2518
IL
Other
Enumeration date
11/29/2010
Last updated
11/29/2010
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