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Individual

MR. GABRIEL LATHROP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO, MS

Contact information

Practice address
5140 N CALIFORNIA AVE, CHICAGO, IL 60625-3645
(773) 878-8200
Mailing address
5140 N CALIFORNIA AVE, CHICAGO, IL 60625-3645
(773) 878-8200

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
125078687
IL

Other

Enumeration date
03/05/2019
Last updated
06/24/2021
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