ALFREDO JOSE MENA LORA

CHICAGO, IL
NPI1639307283
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RI0200X Internal Medicine, Infectious Disease
(Licence: IL  036129801)
Additional Taxonomies208600000X Surgery
(Licence: IL  036129081)
390200000X Student in an Organized Health Care Education/Training Program
(Licence: IL  125056547)
Enumeration Date2009-06-22
Last Update Date2021-07-20
Business Address
ALFREDO JOSE MENA LORA M.D.
2875 W 19TH ST
CHICAGO, IL 60623
Phone number: 773-484-1000
Mailing Address
ALFREDO JOSE MENA LORA M.D.
2875 W 19TH ST
CHICAGO, IL 60623-3501
Phone number: 773-484-1000