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Individual

LUIS PABLO CARRILERO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2755 W 15TH ST, CHICAGO, IL 60608-1754
(773) 257-6665
(773) 257-6431
Mailing address
2755 W 15TH ST, CHICAGO, IL 60608-1754
(773) 257-6665

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036128548
IL

Other

Enumeration date
08/18/2009
Last updated
01/03/2012
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