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1124004262
HUMBERTO VERGARA
CHICAGO, IL
NPI
1124004262
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207QA0401X Family Medicine, Addiction Medicine
(Licence: IL 036-072013)
Enumeration Date
2005-12-20
Last Update Date
2010-08-31
Business Address
Dr. HUMBERTO VERGARA M.D.
1431 N WESTERN AVE SUITE 205
CHICAGO, IL 60622-1797
Phone number: 773-278-4811
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Mailing Address
Dr. HUMBERTO VERGARA M.D.
1431 N WESTERN AVE SUITE 205
CHICAGO, IL 60622-1797
Phone number: 773-278-4811
Copy
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