Individual
DR. ANTHONY JOSEPH ANGUILLE-VALLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5145 N CALIFORNIA AVE, CHICAGO, IL 60625-3661
(773) 878-8200
Mailing address
3740 N HALSTED ST APT 711, CHICAGO, IL 60613-5657
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
125071441
IL
Other
Enumeration date
06/20/2017
Last updated
06/20/2017
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