Individual
DR. BRUNO VINCENT DECARIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
251 E HURON ST, CHICAGO, IL 60611-2908
(312) 926-2000
Mailing address
1934 N LEAVITT ST, APARTMENT #2, CHICAGO, IL 60647-4456
(304) 723-8457
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
125056820
IL
Other
Enumeration date
08/29/2009
Last updated
08/29/2009
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