NPI 1033142351

Marc J Alonzo, MD

Practitioner Vascular & Interventional Radiology Physician Evanston, IL

Practice location

Address: 2650 Ridge Ave Department of Radiology, G507, Evanston, IL 60201-1718
Phone: (847) 570-2475
Fax: (847) 570-2942

Registered specialties

Vascular & Interventional Radiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2085R0204X

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Registry record

NPI: 1033142351
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Jul 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.