Individual
DR. MANUEL MARTIN CORRALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2701 W 68TH ST, CHICAGO, IL 60629-1813
(773) 884-9000
Mailing address
155 N HARBOR DR, UNIT 711, CHICAGO, IL 60601-7364
(312) 819-1089
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
IL
Other
Enumeration date
12/28/2006
Last updated
07/09/2007
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