Individual
DR. GLORIA DSOUZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2638 W COYLE AVE, CHICAGO, IL 60645-3215
(773) 761-3229
Mailing address
2638 W COYLE AVE, CHICAGO, IL 60645-3215
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036101188
IL
Other
Enumeration date
04/16/2012
Last updated
05/08/2014
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