Individual
FELIPE DE ALBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2160 S FIRST AVE, LUH-NO. ENT., RM. 2601, MAYWOOD, IL 60153
(708) 216-3408
(708) 216-3557
Mailing address
2160 S FIRST AVE, LUH-NO. ENT., RM. 2601, MAYWOOD, IL 60153
(708) 216-3408
(708) 216-3557
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
36098219
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36098219
—
IL
Enumeration date
02/15/2006
Last updated
09/02/2009
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