DANIEL P VICENCIO

CHICAGO, IL
NPI1174508246
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: IL  036088743)
Enumeration Date2005-12-13
Last Update Date2021-05-06
Business Address
Mr. DANIEL P VICENCIO M.D.
2525 S MICHIGAN AVE B-390
CHICAGO, IL 60616-2333
Phone number: 312-567-6691
Mailing Address
Mr. DANIEL P VICENCIO M.D.
2525 S MICHIGAN AVE B-390
CHICAGO, IL 60616-2333
Phone number: 312-567-6691
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