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Individual

ALLAN JULIAN BEALL SACASA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3134 N CLARK ST, CHICAGO, IL 60657-4414
(773) 880-9722
Mailing address
3134 N CLARK ST, CHICAGO, IL 60657-4414

Taxonomy

Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
036128219
IL

Other

Enumeration date
02/14/2011
Last updated
04/19/2022
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