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1003911728
CORAZON B CUSTODIO
CHICAGO, IL
NPI
1003911728
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IL 036087232)
Enumeration Date
2006-09-14
Last Update Date
2007-07-08
Business Address
-- CORAZON B CUSTODIO MD
333 S. STATE STREET REVENUE # 200 CHICAGO DEPTARTMENT OF PUBLIC HEALTH
CHICAGO, IL 60604
Phone number: 312-747-9443
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Mailing Address
-- CORAZON B CUSTODIO MD
333 S. STATE STREET REVENUE # 200 CHICAGO DEPTARTMENT OF PUBLIC HEALTH
CHICAGO, IL 60604
Phone number: 312-747-9443
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