Individual
DR. LOURDES DE LEON RAMOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
21W480 ARMY TRAIL RD, ADDISON, IL 60101-1404
(630) 932-1870
(630) 932-8191
Mailing address
997 MISSISSIPPI LN, ELK GROVE VILLAGE, IL 60007-2941
(847) 352-0537
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036110213
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0032242798
BCBS OF IL
IL
05
—
036110213
—
IL
Enumeration date
08/31/2006
Last updated
07/08/2007
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