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Individual

IBELIS RAMOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
3144 N AUSTIN AVE, 1ST FLOOR FRONT, CHICAGO, IL 60634-5127
(773) 255-8433
Mailing address
3144 N AUSTIN AVE, 1ST FLOOR FRONT, CHICAGO, IL 60634-5127
(773) 255-8433

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
227.009624
IL

Other

Enumeration date
10/17/2009
Last updated
10/17/2009
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