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1073541660
LEONEL ANTONIO URDANETA
CHICAGO, IL
NPI
1073541660
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: IL 036119700)
Enumeration Date
2006-06-30
Last Update Date
2009-04-27
Business Address
-- LEONEL ANTONIO URDANETA MD
211 E ONTARIO ST 12TH FLOOR
CHICAGO, IL 60611-3468
Phone number: 312-469-4905
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Mailing Address
-- LEONEL ANTONIO URDANETA MD
211 E ONTARIO ST 12TH FLOOR
CHICAGO, IL 60611-3468
Phone number: 312-469-4905
Copy
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