Individual
EPLURIBUS MAYS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3837 W 71ST ST, CHICAGO, IL 60629-4357
(312) 428-0267
Mailing address
3837 W 71ST ST, CHICAGO, IL 60629-4357
(312) 428-0267
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
503272
IL
Other
Enumeration date
02/11/2021
Last updated
02/11/2021
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