SAN TRAN

CHICAGO, IL
NPI1083237788
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: IL  125.076800)
Enumeration Date2020-05-28
Last Update Date2020-05-28
Business Address
SAN TRAN MD
1500 S FAIRFIELD AVE
CHICAGO, IL 60608-1782
Phone number: 408-515-0349
Mailing Address
SAN TRAN MD
5905 W CHARLESTON BLVD APT 311
LAS VEGAS, NV 89146-1376
Phone number: 408-515-0349
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