LASER MD SC

CHICAGO, IL
NPI1427365741
Entity TypeOrganization
Authorized ContactJOSE M RODRIGUEZ
Provider
773-531-9435
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IL  036089962)
Enumeration Date2010-09-08
Last Update Date2010-09-08
Business Address
LASER MD SC
1449 W FLETCHER ST STE 3
CHICAGO, IL 60657-2112
Phone number: 773-531-9435
Mailing Address
LASER MD SC
1449 W FLETCHER ST STE 3
CHICAGO, IL 60657-2112
Phone number: 773-531-9435