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1033403282
SULLIVAN MEDICAL SQUARE, INC
CHICAGO, IL
NPI
1033403282
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Entity Type
Organization
Authorized Contact
BRIAN MURRAY
Owner
773-638-2651
Organization Subpart ?
No
Primary Taxonomy
208D00000X General Practice
(Licence: IL 03612661)
Enumeration Date
2011-06-06
Last Update Date
2013-08-14
Business Address
SULLIVAN MEDICAL SQUARE, INC
15 S KEDZIE AVE
CHICAGO, IL 60612-2705
Phone number: 773-638-2651
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Mailing Address
SULLIVAN MEDICAL SQUARE, INC
15 S KEDZIE AVE
CHICAGO, IL 60612-2705
Phone number: 773-638-2651
Copy
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