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1477287662
GERTRUDA EVARISTO
CHICAGO, IL
NPI
1477287662
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207ZP0101X Pathology Anatomic Pathology
(Licence: IL 036.159024)
Enumeration Date
2022-07-13
Last Update Date
2022-09-09
Business Address
DR. GERTRUDA EVARISTO M.D.
5841 S. MARYLAND AVENUE E-607 MC 6101
CHICAGO, IL 60637-1470
Phone number: 514-293-8953
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Mailing Address
DR. GERTRUDA EVARISTO M.D.
5841 S. MARYLAND AVENUE E-607 MC 6101
CHICAGO, IL 60637-1470
Phone number: 514-293-8953
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