Organization
AUSTIN STREET PEDIATRICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANULFO CABRERA M.D. (OWNER)
(847) 475-8711
Entity
Organization
Contact information
Practice address
800 AUSTIN ST, SUITE 463, EAST TOWER, EVANSTON, IL 60202-3439
(847) 475-8711
(847) 475-2513
Mailing address
800 AUSTIN ST, SUITE 463, EAST TOWER, EVANSTON, IL 60202-3439
(847) 475-8711
(847) 475-2513
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036-068428
IL
Other
Enumeration date
05/04/2008
Last updated
05/04/2008
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