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Individual

OSCAR ALONSO VIRLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
SA-C

Contact information

Practice address
18761 CHESTNUT CT, MOKENA, IL 60448-9501
(786) 448-9020
Mailing address
4165 N ELSTON AVE APT 2F, CHICAGO, IL 60618-1859
(941) 580-1641

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
238000790
IL

Other

Enumeration date
11/01/2023
Last updated
11/13/2023
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