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1407089394
JOSE L HUERTA SUAREZ
CHICAGO, IL
NPI
1407089394
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IL 036.128879)
Enumeration Date
2009-08-26
Last Update Date
2021-03-18
Business Address
JOSE L HUERTA SUAREZ M.D.
1431 N WESTERN AVE STE 503
CHICAGO, IL 60622-1776
Phone number: 773-772-9121
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Mailing Address
JOSE L HUERTA SUAREZ M.D.
201 WAVERLY PL
WAUKESHA, WI 53186-5908
Phone number: 262-896-1029
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