Individual
FABIAN SIERRA MORALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1725 W HARRISON ST STE 1106, CHICAGO, IL 60612-3845
(312) 942-8747
Mailing address
1725 W HARRISON ST STE 1106, CHICAGO, IL 60612-3845
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MT202832
PA
Other
Enumeration date
07/12/2012
Last updated
04/30/2021
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