Individual
GEISEL RAQUEL BARBARA COLLAZO GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1801 W TAYLOR ST, SUITE 2E, CHICAGO, IL 60612-4795
(312) 996-7416
(312) 413-8778
Mailing address
840 S WOOD ST, M/C 856, CHICAGO, IL 60612-4795
(312) 996-7416
(312) 413-8778
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036131393
IL
Other
Enumeration date
03/25/2010
Last updated
09/30/2015
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