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Individual

DR. KARL HIROYUKI TAKABAYASHI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2160 S 1ST AVE, BLDG-103 RM-3102, MAYWOOD, IL 60153-3328
(708) 216-6462
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-6462

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
036136754
IL
207L00000X
Anesthesiology Physician
Primary
141421
CA

Other

Enumeration date
03/21/2012
Last updated
06/22/2016
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