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1033499538
CAROLINE J TETER
CHICAGO, IL
NPI
1033499538
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: IL 085000465)
Enumeration Date
2011-08-29
Last Update Date
2011-08-29
Business Address
Ms. CAROLINE J TETER PA-C
1701 W SUPERIOR ST
CHICAGO, IL 60622-5646
Phone number: 312-432-7392
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Mailing Address
Ms. CAROLINE J TETER PA-C
1701 W SUPERIOR ST
CHICAGO, IL 60622-5646
Phone number: 312-432-7392
Copy
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