Individual
GABRIEL DOMINGO PALMIERI LAGARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1950 W POLK ST FL 7, CHICAGO, IL 60612-3723
(787) 702-8823
Mailing address
VILLA DEL CARMEN AVE CONSTANCIA 4406, PONCE, PR 00716
(787) 702-8823
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
125079725
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/24/2020
Last updated
06/29/2022
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