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1902890395
DARRELL R LATVA
CHICAGO, IL
NPI
1902890395
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
213ES0131X Podiatrist, Foot Surgery
(Licence: IL 016-003092)
Enumeration Date
2005-08-31
Last Update Date
2012-02-22
Business Address
Dr. DARRELL R LATVA DPM
1108 S KEDZIE AVE
CHICAGO, IL 60612-3935
Phone number: 773-722-2712
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Mailing Address
Dr. DARRELL R LATVA DPM
3537 PAYSPHERE CIR
CHICAGO, IL 60674-0035
Phone number: 708-786-2900
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