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Individual

DR. IRENE BARAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3172 N MILWAUKEE AVE, CHICAGO, IL 60618-6633
(773) 575-1066
Mailing address
2911 W. MORSE AVE, CHICAGO, IL 60645
(773) 575-1066

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036087269
IL
207R00000X
Internal Medicine Physician
Primary
036087269
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
354620
IL
Enumeration date
05/20/2006
Last updated
10/04/2021
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