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1508347725
JOSE RAFAEL BALSA GUERRERO
CHICAGO, IL
NPI
1508347725
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: IL 125073408)
Enumeration Date
2018-08-25
Last Update Date
2018-08-25
Business Address
JOSE RAFAEL BALSA GUERRERO MD
1901 W HARRISON ST
CHICAGO, IL 60612-3714
Phone number: 312-864-6000
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Mailing Address
JOSE RAFAEL BALSA GUERRERO MD
1901 W HARRISON ST
CHICAGO, IL 60612-3714
Phone number: 312-864-6000
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