RAUL SALTA

CHICAGO, IL
NPI1588760524
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: IL  036048835)
Enumeration Date2006-09-16
Last Update Date2009-09-08
Business Address
-- RAUL SALTA
1705 W GRANVILLE AVE
CHICAGO, IL 60660-1114
Phone number: 773-262-8760
Mailing Address
-- RAUL SALTA
5219 N HARLEM AVE
CHICAGO, IL 60656-1803
Phone number:
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