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Individual

DR. RONALD REMBERT JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
31 W. 155TH ST,, HARVEY, IL 60426
(708) 596-5177
(708) 339-3583
Mailing address
31 W 155TH ST, HARVEY, IL 60426-3556
(708) 596-5177
(708) 339-3583

Taxonomy

Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
036108881
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036108881
IL
Enumeration date
06/17/2006
Last updated
07/31/2009
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