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Individual

DR. LARISSA VERDA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1900 W POLK ST, 15 FLOOR - DEPT OF INT MED, CHICAGO, IL 60612-3723
(312) 864-7229
Mailing address
8200 LINCOLN AVE, UNIT 413, SKOKIE, IL 60077-2423
(773) 983-6484

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036122921
IL
282N00000X
General Acute Care Hospital
125052153
IL

Other

Enumeration date
01/23/2009
Last updated
10/31/2018
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