BENJAMIN ANTONIO MARTELL LAZO

CHICAGO, IL
NPI1912744434
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: IL  125.084212)
Enumeration Date2024-07-11
Last Update Date2024-07-26
Business Address
BENJAMIN ANTONIO MARTELL LAZO MD
3134 N CLARK ST
CHICAGO, IL 60657-4414
Phone number: 312-766-4949
Mailing Address
BENJAMIN ANTONIO MARTELL LAZO MD
3134 N CLARK ST
CHICAGO, IL 60657-4414
Phone number: