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1205824406
LUVIANCA J. FONSECA
CHICAGO, IL
NPI
1205824406
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IL 036105462)
Enumeration Date
2005-10-11
Last Update Date
2021-12-28
Business Address
Dr. LUVIANCA J. FONSECA M.D.
4255 W 63RD ST
CHICAGO, IL 60629-5041
Phone number: 773-424-4048
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Mailing Address
Dr. LUVIANCA J. FONSECA M.D.
4255 W 63RD ST
CHICAGO, IL 60629-5041
Phone number: 773-424-4048
Copy
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