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Individual

MR. JAIME VIRAMONTES JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CSFA

Contact information

Practice address
2725 TECHNOLOGY DR, LOMBARD, IL 60148-5675
(630) 946-2700
Mailing address
PO BOX 1027, LA GRANGE PARK, IL 60526-9127
(331) 777-0562

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
238.000686
IL

Other

Enumeration date
08/06/2020
Last updated
08/06/2020
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