Individual
KARL F DISQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O. RPH
Contact information
Practice address
1653 W CONGRESS PKWY, CHICAGO, IL 60612-3833
(312) 942-5000
Mailing address
1609 W COUNTY ROAD 100 S, BROWNSTOWN, IN 47220-9614
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
125053593
IL
Other
Enumeration date
06/02/2008
Last updated
06/02/2008
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