RAFAELLO VINCENS UY IBRADO

PARK RIDGE, IL
NPI1962252064
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: IL  125.084124)
Enumeration Date2024-03-25
Last Update Date2024-06-13
Business Address
RAFAELLO VINCENS UY IBRADO
1775 BALLARD RD
PARK RIDGE, IL 60068-1005
Phone number: 847-318-9340
Mailing Address
RAFAELLO VINCENS UY IBRADO
1775 DEMPSTER ST
PARK RIDGE, IL 60068-1143
Phone number: