Most Relevant Information
Provider Data
| NPI Number: | 1003339482 |
| Provider Name: | MARIA LUISA SAFAR BOUERI M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: | 272586 |
Most Important Dates
| Enumeration Date: | 07/18/2017 |
| Last Updated: | 02/03/2022 |
Provider Practice Location
676 NORTH SAINT CLAIR STREET
SUITE 1900
CHICAGO
IL
606112927
Practice Location Phone/Fax
| Phone: | 3126958900 |
| Fax: | 3126957752 |
Provider Mailing Location
676 NORTH SAINT CLAIR STREET
SUITE 1900
CHICAGO
IL
606112927
Provider Mailing Phone/Fax
| Phone: | 3126958900 |
| Fax: | 3126957752 |