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1003300682
BOBIEJO AVA FERGUSON BRYAN
CHICAGO, IL
NPI
1003300682
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: IL 125.072453)
Enumeration Date
2018-06-18
Last Update Date
2018-06-18
Business Address
Dr. BOBIEJO AVA FERGUSON BRYAN MD
5841 S MARYLAND AVE # MC6040
CHICAGO, IL 60637-1443
Phone number: 773-702-1000
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Mailing Address
Dr. BOBIEJO AVA FERGUSON BRYAN MD
180 HARVESTER DR STE 110
BURR RIDGE, IL 60527-4503
Phone number: 773-702-1150
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