Individual
CARLOS RICARDO SEQUERA SANCHEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
856 W NELSON ST, APT 508, CHICAGO, IL 60657-5152
(312) 550-8123
Mailing address
856 W NELSON ST, APT 508, CHICAGO, IL 60657-5152
(312) 550-8123
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
125064512
IL
Other
Enumeration date
07/02/2014
Last updated
07/02/2014
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