OSCAR ALONSO VIRLA

MOKENA, IL
NPI1609649599
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: IL  238000790)
Enumeration Date2023-11-01
Last Update Date2023-11-13
Business Address
OSCAR ALONSO VIRLA SA-C
18761 CHESTNUT CT
MOKENA, IL 60448-9501
Phone number: 786-448-9020
Mailing Address
OSCAR ALONSO VIRLA SA-C
4165 N ELSTON AVE APT 2F
CHICAGO, IL 60618-1859
Phone number: 941-580-1641
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