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1912744434
BENJAMIN ANTONIO MARTELL LAZO
CHICAGO, IL
NPI
1912744434
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: IL 125.084212)
Enumeration Date
2024-07-11
Last Update Date
2024-07-26
Business Address
BENJAMIN ANTONIO MARTELL LAZO MD
3134 N CLARK ST
CHICAGO, IL 60657-4414
Phone number: 312-766-4949
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Mailing Address
BENJAMIN ANTONIO MARTELL LAZO MD
3134 N CLARK ST
CHICAGO, IL 60657-4414
Phone number:
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