JUSTIN RAY BLACK

CHICAGO, IL
NPI1740436781
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207L00000X Anesthesiology
(Licence: IL  036-121182)
Enumeration Date2008-08-11
Last Update Date2008-08-11
Business Address
-- JUSTIN RAY BLACK M.D.
5841 S MARYLAND AVE # MC4028
CHICAGO, IL 60637-1447
Phone number: 773-702-6700
Mailing Address
-- JUSTIN RAY BLACK M.D.
3546 WILLOW ST
FLOSSMOOR, IL 60422-2243
Phone number: 708-922-9299
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