Individual
EFRAIN FLORES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
215 REMINGTON BLVD, SUITE H, BOLINGBROOK, IL 60440-3656
(630) 226-9407
Mailing address
805 BLANDFORD AVE, NEW LENOX, IL 60451-8615
(815) 685-6638
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036106595
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036106595
—
IL
Enumeration date
09/20/2006
Last updated
11/07/2012
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