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1578799748
CARLOS RAFAEL DA FONSECA
CHICAGO, IL
NPI
1578799748
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IL 036-122089)
Enumeration Date
2009-06-02
Last Update Date
2009-06-02
Business Address
Dr. CARLOS RAFAEL DA FONSECA M.D
2901 W TOUHY AVE
CHICAGO, IL 60645-2937
Phone number: 773-973-7350
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Mailing Address
Dr. CARLOS RAFAEL DA FONSECA M.D
2901 W TOUHY AVE
CHICAGO, IL 60645-2937
Phone number: 773-973-7350
Copy
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