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1134108681
RENATO ENRIQUEZ
SPRINGFIELD, IL
NPI
1134108681
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: IL 036050558)
Enumeration Date
2006-01-12
Last Update Date
2007-07-08
Business Address
-- RENATO ENRIQUEZ md
701 N 1ST ST
SPRINGFIELD, IL 62781-0001
Phone number: 217-788-5495
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Mailing Address
-- RENATO ENRIQUEZ md
PO BOX 17037
URBANA, IL 61803-7037
Phone number: 800-897-6169
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