Individual
CARLOMAGNO A ORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1653 W CONGRESS PKWY, CHICAGO, IL 60612-3833
(312) 942-5000
Mailing address
7132 16TH ST, BERWYN, IL 60402-4726
(708) 257-2015
Taxonomy
Speciality
Code
Description
License number
State
246QM0706X
Medical Technologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201856960
HARMONY HEALTH PLAN
IL
Enumeration date
02/19/2012
Last updated
02/19/2012
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