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Organization

PALMAS & RAM RUDRA LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOSE ALFREDO LOPEZ (PRESIDENT1)
17738231333
Entity
Organization

Contact information

Practice address
1247 S. CESAR E. CHAVES DRIVE, MILWAUKEE, WI 53204
(773) 823-1333
Mailing address
3836 S ARCHER AVE, SUITE 200, CHICAGO, IL 60632-1014
(773) 823-1333
(773) 823-1313

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary

Other

Enumeration date
07/08/2011
Last updated
07/08/2011
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