Individual
MARTIN ANDRES CORONEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
5841 S MARYLAND AVE, MC 6040, CHICAGO, IL 60637-1447
(773) 753-1880
(773) 702-2140
Mailing address
400 E SOUTH WATER ST, APT 2111, CHICAGO, IL 60601-4021
(571) 309-7635
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
125065715
IL
Other
Enumeration date
06/21/2014
Last updated
06/21/2014
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