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1013993914
SAMUEL DOREVITCH
CHICAGO, IL
NPI
1013993914
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207PE0004X Emergency Medicine, Emergency Medical Services
(Licence: IL 36083148)
Enumeration Date
2005-12-22
Last Update Date
2007-07-08
Business Address
-- SAMUEL DOREVITCH MD
75 REMITTANCE DR SUITE 1951
CHICAGO, IL 60675-1001
Phone number: 847-535-5917
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Mailing Address
-- SAMUEL DOREVITCH MD
5336 N LAKEWOOD AVE
CHICAGO, IL 60640-2209
Phone number: 773-334-9029
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