Individual
MR. SAMUEL RETAMAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4116 N BERNARD ST, CHICAGO, IL 60618-2206
(773) 588-8795
Mailing address
4116 N BERNARD ST, CHICAGO, IL 60618-2206
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
—
—
Other
Enumeration date
12/09/2009
Last updated
12/09/2009
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