Individual
DR. BRIAN MICHAEL ICASAS CABRAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
710 N FAIRBANKS CT, OLSON 4-500, CHICAGO, IL 60611-3013
(312) 926-4880
(312) 926-4885
Mailing address
710 N FAIRBANKS CT, OLSON 4-500, CHICAGO, IL 60611-3013
(312) 926-4880
(312) 926-4885
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
036116418
IL
Other
Enumeration date
04/22/2008
Last updated
04/22/2008
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