Individual
HENRY R PALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3048 N WILTON AVE, 2ND, CHICAGO, IL 60657-6710
(773) 296-5424
(773) 296-5280
Mailing address
3048 N WILTON AVE, 2ND, CHICAGO, IL 60657-6710
(773) 296-5424
(773) 296-5280
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036052930
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036052930
—
IL
Enumeration date
02/07/2007
Last updated
12/18/2012
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