Individual
DR. JOSE MARIA HILARIO GABRIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7531 S STONY ISLAND AVE, CHICAGO, IL 60649-3954
(773) 947-2400
Mailing address
306 ERA DR, NORTHBROOK, IL 60062-1834
(847) 509-9779
Taxonomy
Speciality
Code
Description
License number
State
207ZC0006X
Clinical Pathology Physician
036107546
IL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
036107546
IL
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
036107546
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01636129
IL BCBS
IL
05
—
036107546
—
IL
01
—
P00724370
RAILROAD MEDICARE
IL
Enumeration date
10/30/2007
Last updated
07/30/2010
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