Individual
MARIBEL CORRAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3650 W ARMITAGE AVE, CHICAGO, IL 60647-3611
(312) 698-9040
(855) 618-2276
Mailing address
3450 S ARCHER AVE, CHICAGO, IL 60608-6837
(773) 523-1000
(773) 843-1553
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085003067
IL
Other
Enumeration date
10/31/2007
Last updated
11/01/2022
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