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1053543520
BLUE DIAMOND HEALTH CARE LLC
CHICAGO, IL
NPI
1053543520
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Entity Type
Organization
Authorized Contact
JAMES L VACRACOS
Business Representative
773-292-9660
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2009-08-18
Last Update Date
2009-08-18
Business Address
BLUE DIAMOND HEALTH CARE LLC
2749 W NORTH AVE
CHICAGO, IL 60647-5246
Phone number: 773-292-9660
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Mailing Address
BLUE DIAMOND HEALTH CARE LLC
8606 DELAWARE ST
HIGHLAND, IN 46322-1776
Phone number: 219-765-3431
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