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VICTOR RAFAEL PLASENCIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5939 W DIVERSEY AVE, CHICAGO, IL 60639-1155
(773) 637-1600
(773) 637-2733
Mailing address
5939 W DIVERSEY AVE, CHICAGO, IL 60639-1155
(773) 637-1600
(773) 637-1520

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
03112680
IL

Other

Enumeration date
11/16/2007
Last updated
06/18/2025
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