JOSE R FERNANDEZ

CHICAGO, IL
NPI1841559713
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IL  036060326)
Enumeration Date2012-05-11
Last Update Date2012-05-11
Business Address
-- JOSE R FERNANDEZ
5637 NORTH COURTLAND AVE
CHICAGO, IL 60631-2907
Phone number: 847-292-1489
Mailing Address
-- JOSE R FERNANDEZ
5637 NORTH COURTLAND AVE
CHICAGO, IL 60631-2907
Phone number: 847-292-1489
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