Fausto R. Lora-Mir, M.D.
Internal Medicine in Elgin, IL. Individual provider (NPI-1).
NPI number1104875434
StatusActive
Last updated in NPPESOct 3, 2008
Details
- NPI
- 1104875434
- Entity type
- Individual (NPI-1)
- Name
- Fausto R. Lora-Mir
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 5, 2006
- Last updated
- Oct 3, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 036084051 | IL | Yes |
Practice location
2023 Royal BlvdSuite A
Elgin, IL 60120
Phone 847-931-7274 · Fax 847-931-7159
Mailing address
2023 Royal BlvdSuite A
Elgin, IL 60120
Phone 847-931-7274 · Fax 847-931-7159
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