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1053642918
QINGYUAN DU
CHICAGO, IL
NPI
1053642918
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224P00000X Prosthetist
(Licence: IL 211-000175)
Enumeration Date
2010-01-15
Last Update Date
2010-01-15
Business Address
-- QINGYUAN DU
345 E SUPERIOR ST
CHICAGO, IL 60611-2654
Phone number: 312-238-1000
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Mailing Address
-- QINGYUAN DU
900 N DEWITT PL APT 601
CHICAGO, IL 60611-5757
Phone number:
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