Individual
DR. SAMUEL P ALFONSI III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1611 W HARRISON ST STE 201, CHICAGO, IL 60612-4861
(312) 243-4244
Mailing address
1611 W HARRISON ST STE 201, CHICAGO, IL 60612-4861
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
125084268
IL
Other
Enumeration date
06/19/2024
Last updated
06/19/2024
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