CARLOS RAFAEL DA FONSECA

CHICAGO, IL
NPI1578799748
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IL  036-122089)
Enumeration Date2009-06-02
Last Update Date2009-06-02
Business Address
Dr. CARLOS RAFAEL DA FONSECA M.D
2901 W TOUHY AVE
CHICAGO, IL 60645-2937
Phone number: 773-973-7350
Mailing 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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